Basic Data On Women Who Use Family Planning Clinics · Puerto Rico, and the Virgin Islands). The clinics include those operated by public health departments, private organizations

Basic Data On Women Who Use Family Planning Clinics: United States, 1986

This report presents data on women who used organized family planning clinics in the United States during 1980. The data focus on the socioeconomic characteristics, pregnancy history, and contraceptive methods of women patients.

Data From the National Health Survey Series 13, No. 67

PROPERTYof THE -PUBLICATJQNSBJ?ANCH EDiBORJAkLJBRAWY

DHHS Publication No. (PHS) 82-l 728

U.S. Department of Health and Human Services Public Health Service Office of Health Research, Statistics,

and Technology National Center for Health Statistics Hyattsville, Rild. September 1982

COPYRIGHT INFORMATION

All material appear ing in this report is in the public domain and may be reproduced or copied without permission: citation as to source, however, is appreciated.

SUGGESTED CITATION

National Center for Health Statistics, B. Bloom: Basic data on women who use family planning clinics, United States, 1980. Viral and Health Sratistics. Series 13, No. 67. DHHS Pub. No. (PHS) 82-1728. Public Health Service. Washington. U.S. Government Printing Office, September 1982.

Library of Congress Ca;aloging in Publication Data

Bloom, Barbara Basic data on women who use family planning clinics.

(Vital and health statistics. Series 13, Data from the national health survey ; no. 67) (DHHS publication ; no. (PHS) 82-l 728)

Includes bibliographical references. Supt. of Dots. no.: HE 20.6209:13/67 1. Birth control clinics-United States-Utilization-Statistics.

2. Contraception-United States-Statistics. 3. Women-Uni ted States-Economic conditions-Statistics. 4. Women-Uni ted States-Social conditions-statistics. I. National Center for Health Statistics (U.S.) II, Title. Ill. Series. IV. Series: DHHS publication ; no. (PHS) 82-l 728. [DNLM: 1. Family planning-United States-Statistics. 2. Community health services-Utilization-United States. W 2 A N148vm no. 671 HQ766.5.U5B59 1982 362.1’2 8243253 ISBN D-8406-0263-4

National Center for Health Statistics

ROBERT A. ISRAEL, Acting Director JACOB J. FELDMAN, Ph.D., AssociateDirector for Analysis and Epidemiology GAIL F. FISHER, Ph.D., AssociateDirector for the CooperativeHealth Statistics System GARRIE J. LOSEE, AssociateDirector for Data Processingand Services ALVAN 0. ZARATE, Ph.D., Assistant Directorfor Interriational Statistics E. EARL BRYANT, AssociateDirector for Interview and Examination Statistics ROBERT L. QUAVE, AssociateDirectorforManagement MONROE G. SIRKEI$ Ph.D., AssociateDirector for Researchand Methodology PETER L. HURLEY, AssociateDirector for Vital and Health Care Statistics ALICE HAYWOOD, Information Oficer

Vital and Health Care Statistics Program

PETER L. HURLEY, AssociateDirector GLORIA KAPANTAIS, Assistant to the Directorfor Data Policy, Planning, and Antilysis

Division of Health Care Statistics

PETER L. HURLEY? Acting Director JOAN F. VAN NOSTRAND, DepuQ Director STEWART C. RICE, Chief Family PlanningStatistics Branch

Contents

Introduction ........................................................................................... 1 Overview ........................................................................................... 1 Source and limitations of the data ...................................................................... 1 Scope;nd objectives of this report ..................................................................... 1

Related publications. ................................................................................... 2

Rejerences. ........................................................................................... 3

List of detailed tables ................................................................................... 4

Appendixes

I. Technical notes .................................................................................... 39 II. Definitions of terms used in this report ................................................................. 44 Ill. Survey instrument ................................................................................... 46

iii

Symbols Used in Tables

Data not available

Category not applicable

Quantity zero

Quantity more than zero but less than 0.05

Quantity more than zero but less than 500 when data are rounded to thousands

Figure does not meet standards of reliability or precision

Figure suppressed to comply with confidentiality requirements

iv

Basic Data on Women Who Use Family Planning Clinics: United States; 1980’ By .Barbara Bloom, Division of Health Care Statistics

,. ,. ? . ,’

Introduction Overview,

This report presents basic data on women who used organized family planning clinics in the United States during 1980. The statistics based on data collected from the National Reporting System for Family Planning Services focus on the socioeconomic characteristics, pregnancy history, and contraceptive methods of women patients.

Sources tind limitations of the data The National Reporting System for Family Plan

ning Services is an ongoing survey conducted by the Division of Health Care Statistics of the National Center for Health Statistics in order to collect data on clinic-based visits for medical family planning services in the United States and some of its territories (Guam, Puerto Rico, and the Virgin Islands). The clinics include those operated by public health departments, private organizations (such as affiliates of the Planned Parenthood Federation of America, Inc.), hospitals, and other sites that provide family planning services. Medical family planning visits to private physicians’ offices are excluded from the system.

From 1972throughmid-1977,theNationalRepork ing Systemfor Family Planning Serviceswas conducted as a full-count survey, collecting information for everyfamily planning visit at .every participating site. Since July 1,1977, however, the system has been conducted as a sample survey. The sample de&n for the system was based on a stratified two-stage probability sample. The first stage was the selection of clinics; the second stage was the selection of family planning visits occur-ring at each sampled clinic. At the time of the sampled visit, a Clinic Visit Record is completed for the family planning patient. Persons seeking on& pregnancy or venereal diseasetests are not counted asfamily planning patients, nor are persons interested only in obtaining contraceptive supplies or counseling. .

Although the primary sampling unit in the National Reporting System for Family Planning Services is the family planning visit, an tmduplicated count of patients has been obtained by identifying (1) new patients at the time of their initial family planning visit to a family planning service site and (2) continuation and read-mission patients at the time of their first visit occurring during the survey year. In this report, continuation and readmission patients are referred to as return patients.

Because the estimates in this report are based on a sampling of family planning clinics. rather than on a complete enumeration, they are subject to sampling variability. Appendix I contains a detailed discussion of the.reliability of the estimates, survey methodology, and data collection and ,processing, and appendix II contains the ‘definitions of certain terms used in this report. Appendix III contains a Clinic Visit Record form.

Scope and objectives of this report The detailed tables in this report present the socio

economic characteristics and family planning practices of women who used family planning clinics in the United States during 1980. The socioeconomic characteristics are age, race, ethnicity, education, student status (whether currently a student), and welfare status (whether public assistance income is received). The family planning variables, shown are contraceptivemethod prior to this visit, source of prior method, contraceptive method adopted or continued during this visit, medical servicesprovided, number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973.

Data from the territories of Guam, Puerto Rico, and the Virgin Islands are not included in this report. In addition, data on male family planning patients are not included because the number of visits by males to family planning clinics was too small for reliable estimates.

/

Related publications’

Reports based on data collected in the 1978 National Reporting System for Family Planning Services (NRSFPS) that focused on visits to family planning clinics by all women1 and by teenagers,;!as well as a profile of all women patients3 and a profile of teenage women patients4 have been published. Reports based on data collected in the 1979 NRSFPS that focused on visits to family planning clinics5 and a profile of women patients6 also have been published. Reports based on data collected in the 1980 NRSFPS focusing on visits and patients are in preparation.

Other data on the utilization of family planning services are collected by the National Center for Health Statistics. Data on visits to office-based physicians that include a family planning service are collected by means of the National Ambulatory Medical Care

Survey, which is also conducted by the Division of Health Care Statistics.7 Statistics on women who made family planning visits either to their own physiciansor to organized family planning clinics in the 3 years before the survey are collected by means of the National Survey of Family Growth, which is conducted by the Division of Vital Statistics.8 Unlike the other two surveys, the data for the National Survey of Family Growth were collected by means of personal interviews with a national sample of women 15-44 years of age who were ever married or never married with offspring living in the household. Because of differences in the populations sampled, the definitions, and the data collection procedures, estimates on familyplanning visits from these data systems differ.

References

INational Center for Health Statistics, B. L. Hudson: Visits to family planning service sites: United States, 1978. Advance Data From Vital andHeaZth Statistics, No. 72. DHHS Pub. No. (PHS)81-1250. Public Healtb Service. Hyattsville, Md. June 29,198l. 2National Center for Health Statistics, J. Foster and E. Eckard Family planning visits by teenagers:National Reporting System for Family Planning Services, United States, 1978. Vital and Health Statistics. Series 13-No. 58. DHHS Pub. No. (PHS) 81-1719. Public Health Service. Washington. U.S. Government PrintingOffice, Aug. 1981. 3National Center for Health Statistics, J. E. Foster: Patient profile, National Reporting System for Family Planning Services: United States, 1978. Advance Data From Vital and HeaZth Statistics, No. 73. DHHS Pub. No. (PHS) 81-1250. Public Health Service. Hyattsville, Md. June 10, 1981. ’ 4National Center for Health Statistics, E. Eckard: Teenagers who use organized family planning services: United States, 1978. VitaI and Health Statistics. Series 13-No. 57. DHHS Pub. No. (PHS) 81-1718. Public Health Service. Washington. U.S. Government Printing Office, Aug. 1981.

5National Center for Health Statistics, B. Bloom: Visits to family planning clinics: United States, 1979. Advance Data From Vital and Health Statistics, No. 74, DHHS Pub. No. (PHS) 81-1250. Public Health Service. Hyattsville, Md. Sept. 4, 1981. 6National Center for Health Statistics, E. E&a& Basic data on women who use organized family planning clinics: United States, 1979. VitaI and Health Statistics. Series 13-No. 62. DHHS Pub. No. (PHS) 82-1723. Public Health Service. Washington. U.S. Government Printing Offrce. Jan. 1982. 7National Center for Health Statistics, B. K. Cypress: Office visits for family planning, National Ambulatory Medical Care Survey:United States, 1977. Advance Data From VitaZ -and Health Statistics, No. 49. DHEW Pub. (PHS) 79-1250. Public Health Service. Hyattsville, Md. Apr. 16, 1979. 8National Center for Health Statistics, G. E. Hendershot: Use of family planning services by currently married women 15-44 years of age: United States, 1973 and 1976. Advance Data From Vital and HeaZth Statistics,No. 45. DHEW Pub. No. (PHS) 79-1250. Public Health Service. Hyattsville, Md. Feb. 7, 1979.

3

List of detailed tables

1.

2.

3.

4.

5.

6.

7.

8.

9.

4

Number of female family planning patients, by patient status and age, and percent distribution by race, ethnicity, education, student status, and public assistance income, according to age: United ‘States, 1980’............... ‘...‘.... ..‘..I . . . . . 1.: . . . . . ...’

Number of female family planning patrents by race and age, and percent distribution by ethnicity, education, student status, and public assistance income, according to race and age: United States, 1980 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of female family planning patients, by ethnicity and age, and percent distribution by race, education, student status, and public assistance income, according to ethnicity and age: United States, 1980. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

,Numberof female family planning patients, by patient status, age, education, and public assistance income, and percent distribution ‘by prior contraceptive method, source of prior method, contraceptive method adopted, and medical services provided, according to patient status, age, education, and public assistance income: United States, 1980. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberoffemaletamilyplanning patients by race, age, education, and public assistance income, and percent distribution by prior contraceptive method, source of prior method, contraceptive method adopted orcontinued, and medical services provided, according to race, age, education, and public assistance income: United States, 1980.................................................

Number of female family planning patients by eihnicity, age, education, and public assistance income, and percent distribution by prior contraceptive method, source of prior contraceptive method, contraceptive method adopted or continued, and medical services provided, according to ethnicity, age, education, and public assistance income: United States, 1980 . . . . . .

Number of female family planning patients by patient status, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to patient status, age, education, and public assistance income: United States. 1980. . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . .

Number of female family planning patients by race, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to race, age, education, end public assistance income: United States, 1980. . . . . . . . . . . . . . . . , , . . . . . . . . , . . . . . , . . . , . . . . . .

Number of female family planning patients by ethnicity, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973,

10. 6

8

11.

9

12.

10

13.

13 14.

15 15.

16. 17

17. 19

according to ethnicity, age, education, and public assistance income: United States, 1980 . . . . . . . . . . . , . . , . . . , . . . , . . . . . .

Number of female fami,ly planning patients by patient status and prior contraceptive method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to patient status’and prior contraceptive method: United States, 1980 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of female family planning patients by race and prior contracep’tive method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to race and prior contraceptive method: United States, 1980. . . . . . . . . . . . .

Number of female family planning patients by ethnicity and prior contraceptive method, and percent distribution by number of pregnancies, number df live births, number of fetal deaths, and number of induced abortions since 1973, according to ethnicity and prior contraceptive method: United States, 1980. . . . . . . , .

Number of female family planning patients by patient status and source of prior method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to patient status and source of prior method: United States, 1980. . . . . . .

Number of female family planning patients by race and source of prior method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to race and source of prior method: United States, 1980 . . . . . . . . . . . . . . , .

Number of female family planning patients by ethnicity and source of prior method, and percent distribution by number of pregnancies,, number of live births, number of fetal deaths; and number of induced abortions since 1973, according to ethnicity and source of prior method: United States, 1980 . . . . . . . , . . . .

Number of female family planning patients by patient status and contraceptive method adopted or continued, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to, patient status and .contraceptive method adopted or continued: United States, 1980 . . . . . . . . . . . . . . . . .

Number of female family planning patients by race and contraceptive method adopted or continued, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to race and contraceptive method adopted or continued: United States, 1980 . . . . . . . , . . . . . . . . . . . . . . . . . . . . . .

21

23

25

26

27

29

30

31

33

\ .i. . ,i* . t.,i, . .

.

18. Number of female family planning patients by ethnicity and contraceptive method adopted or continued, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973. according to ethnicity and contraceptive method adopted or continued: United States, 1980 . . . . . . . . . . . . . . . . . . . . . ...*..

19. Numb& of female family planning patients by patient status and prior contraceptive method, and percent distribution by contraceptive method adopted orcontinued, according to patient status and prior contraceptive method: United States, 1980 . . .

.. ” . ‘., a,

34

35

20. Number of female family planning patients by race and prior contraceptive method, and oercent distribution by contraceptive method adopted or continued, according to race and prior contraceptive method: United States, 1980 . . . . .‘. . . . . . . . . . . . . . .

‘21. Number of female family planning patients by ethnicity and prior contraceptive method, and percent distribution by contraceptive method adopted or continued, according to ethnicity and prior contraceptive method: United States, 1980. . . . . . . . .

. . I

35

37

5

Table 1. Number of female family planning patients, by patient status and age, and percent distribution by race, ethnicity, education, student status, and public assistance income, according to age: United States, 1880

. Race, ethnicity, education, student status, end public essistence income All Under 20-29 30 years ages 20 years years and over

All patients

Number in thousands

Total ............................................................................... 4.977 1,703 2,691 583

Total ...............................................................................

Race

White .............................................................................. Black.. ............................................................................ Other....; .........................................................................

Ethnicity

Hispanic..............................................................., ............ Non-Hispanic ........................................................................

Education

Lessthanl2years ................................................................... 12years ............................................................................ 13 yearsormore .....................................................................

Student status

Student ............................................................................ Notastudent .......................................................................

Public assistance income

Family receives public assistance income ................................................ Family does not receive public assistance income .........................................

Return petients

Percent distribution

100.0 100.0 100.0 100.0

71.4 72.4 71.9 66.2 26.1 25.7 25.6 29.9

2.5 1.9 2.5 3.9

12.8 7.4 13.7 23.8 87.2 92.6 86.3 76.2

40.3 63.1 25.9 40.2 38.5 30.2 43.7 38.7 21.2 6.6 30.5 21.2

27.8 55.8 15.1 4.4 72.2 44.2 84.9 95.6

14.0 12.6 14.5 15.4 86.0 87.4 85.5 84.6

Number in thousands

Total ............................................................................... 3.197 819 1,943

Total ...............................................................................

Race

White .............................................................................. Black.. ............................................................................. Other ..............................................................................

Ethnicity

Hispanic ............................................................................ Non-Hispanic ........................................................................

Education

Lessthan12years ................................................................... 12years ............................................................................ 13yearsormore......: ..............................................................

Student status

Student.. .......................................................................... Notastudent .......................................................................


Family receives public assistance income ................................................ Family does not receive public assistance income .........................................

See note at end of table.


100.0 100.0 100.0 100.0

68.2 67.9 69.3 63.3 29.7 30.8 28.5 33.4

2.1 1.3 2.2 . 3.3

12.8 6.5 12.9 23.9 87.2 93.5 87.1 76.1

37.3 61.1 26.1 42.0 40.5 32.1 44.5 38.6 22.2 6.8 29.3 19.4

22.3 50.4 14.4 4.2 77.7 49.6 85.6 95.8

15.1 14.5 15.1 15.9 84.9 85.5 84.9 84.1

6

436

Table 1. Number of female family planning patients, by patient statue and age, and percent distribution by race, ethnicity, education, student status, and public assistance income, according to age: United States, 199CGCon.

Age ’

Rabe, ethnicity, educetion, stupent stetus, and public sssistence income Ail Under 20-29 30 years ages 20 years yeers 8nd over

Now ptlrntr

Number in thousands

Total . ..I.............................,..............,......,..........,............ 1,779 884 749 147


Total .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 100.0 100.0 100.0

Race

White ..;........................................................................... 77.2 76.6 78.4 74.7 Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.7 21 .o 18.1 19.6 Other..................................................~.............,............. 3.2 2.4 3.5 6.7

Ethnicity

Hispsnic............................................................................ 12.8 8.3 15.9 23.6 Non-Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.2 91.7 84.1 76.4

Education

Lessthan12years .................................................................... 45.7 64.9 25.2 34.8 12years ............................................................................ 34.8 28.5 41.4 38.8 13yearsormore ..................................................................... 19,5 6.5 33.4 26.4

Student status

Student.....................................:...................................... 37.8 60.9 16.9 4.9 Notastudent....................................................................,.: 62.2 39.1 83.1 95.1


Family receives public assistance ihcome................................................. 12.0 10.9 12.9 ’ 13.8 Family does not receive public assistance income .......................................... 88.0 89.1 ,87.1 .86.2

NOTE: Figuresmey not add to totalr due to munding.

:

7

. .. .,

Table 2. Number of female family planning patients, by race and age, and percent distribution by ethnicity, education, student status, and public assistance income, according to race and age: Uiiited States, 1960

White patients ,

Ethnicity, education, student status, and A @

Black patients

Age

30 years All Under 20-29 30 years end over ages 20 yeers yeers and over

public e&stance income

Allpatients................................................

Total .......................................

Ethnicity

Hispanic .................................... Non-Hispanic ................................

Lessthan12years.. ......................... 12years .................................... 13 years or more .............................

Student status

Student ..................................... Not a student ................................


Family receives public assistance income . . . . . . . Family does not receive public assistance income .

NOTE: Figures may not add to totals due to rounding.

All Under 20-29 sg!? 20 yeera years

3,552 1,233 1,634

. . ...*.... 100.0 100.0 100.0

. ...*...*. 16.5 9.4 17.7

.*........ . . 63.5 90.6 62.3

.......... 40.2 61.3 26.5

.......... 37.2 31.4 41.3

.......... 22.6 7.3 32.3

.......... 27.3 53.3 15.4

.......... . . 72.7 46.7 64.6

.......... 9.3 7.5 9.9

.......... 9d.7 92.5 90.1

Number in thoussnds

366 1,301


100.0 100.0

33.9 2.7 67.0 97.3

41.9 40.3 35.2 42.2 22.9 17.1

4.1 29.3 95.9 70.7

11.6 26.6 66.2 73.2

436 669 174

100.0 100.0 100.0

1.6 2.9 4.5 96.4 97.1 95.5

66.6 24.1 36.6 26.6 50.6 46.6

4.6 25.1 16.7

62.6 14.3 4.6 37.2 65.7 ,95.2

27.0 27.6 23.1 73.0 72.4 76.9

Table 3. Number of female family planning patients, by ethnicity and age, and percent distribution by race, education, student status, and public assistance income, according to ethnicity and age: United States, 1980

-Hispanic patients

Race, education, student status, and Age public assistance income

All Under 20-29 ages 20 years years

All patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 635 127 370

Total ..................................................... 100.0 100.0 100.0

Nan-Hispanic parienrs

Age

30 years All Under 20-29 30 years and over ages 20 years years and over

Number in thousands

139 4.341


100.0 100.0

91.7 68.3 ‘5.7 29.2 l 2.6 2.5

69.1 37.1 23.2 39.9

7.7 22.9

*2.9 30.2 97.1 69:8

11 .o 14.2 89.0 85.8

1,576 2,321 444

100.0 100.0 100.0

70.8 68.5 58.2 27.3 28.8 37.5

1.8 2.6 4.3

62.4 21 .I 31 .I 30.8 45.5 43.5

6.9 33.4 25.4

57.7 16.4 4.9 42.3 83.6 95.1

12.6 14.8 16.7 87.4 85.2 83.3

Race

White .................................................... Black ..................................................... Other .... .._ ..............................................

Education

Less than 12 years ......................................... 12 years .................................................. 13 years or more ...........................................

Student status

Student ................................................... Not a student ..............................................

92.3 91.8 92.7 5.5 ‘5.6 5.4 2.2 *2.6 ‘1.9

61.9 72.5 55.5 28.5 23.8 32.2

9.6 ‘3.7 12.3

11.3 33.2 7.0 88.7 66.8 93.0


Family receives public assistance income ...................... 12.5 13.3 12.8 Family does not receive public assistance income ............... 87.5 86.7 87.2

-.-NOTE Figures may not add to totals due to rounding.

9

Table 4. Number of female family planning patients, by patient status, age, education, and public assistance income, and percent distribution by prior contraceptive method, source of prior method, contraceptive method adopted, and medical services provided, accordingto patient status, age, education, and public assistance income: United States, 1980

Education Public assistance

Receives Does not Prior contraceptive method, source of

prior method, contraceptive method adopted or continued, and medical services provided

All patients

Total ...................................

Total ...................................

Prior contraceptive method

Pill ..................................... IUD .................................... Diaphragm .............................. Foam, jelly, or cream., .................... Natural ................................. Sterilization ............................. Other ................................... Never used method regularly ...............

Source of prior method

Same service site ........................ Other service site ........................ Hospital ................................ Private physician ......................... Drug store .............................. Other........................:..; ....... Unknown ...............................

Contraceptive method adopted or continued

Pill ..................................... IUD .................................... Diaphragm .............................. Foam, jelly, or cream ...................... Other... ................................. None ...................................

Reason for no method Pregnant ........................ Relying on partner ................ Other ...........................

Medical services provided’

Pap smear ............................... Pelvic examination ....................... Breast examination ....................... Blood pressure check ..................... Pregnancy testing ........................ Venereal disease testing ................... Urinalysis ............................... Blood test. .............................. Sterilization ............................. Infertility ................................ Other medical services ....................

See footnote and note at end of table.

Total receiveUnder 20-29 30 years less than

12 years 73 years public

20 years years and over 72 years or more assistance public

income assistance income

Number in thousands

4,977 1,703 2,691 583 2,005 1,915 1,057 695 4,282


100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

55.9 49.0 63.1 42.5 50.4 61.7 55.9 56.0 55.9 7.1 1.8 7.9 18.9 6.9 7.2 7.1 10.0 6.6 4.3 1.2 5.7 7.1 1.5 3.5 11.3 3.4 4.5 3.8 3.1 3.7 6.6 3.6 4.0 3.9 4.1 3.8

.6 .5 .6 1.2 .5 .5 1.1 *.4 .7 1 .o *.1 .8 4.6 1.2 1.1 * .6 1.4 1 .o 2.1 2.3 1.7 3.3 2.3 1.9 2.1 1.6 2.2

25.1 41.9 16.5 15.7 33.6 20.1 18.0 23.2 25.4

39.3 30.6 43.8 43.7 36.6 42.2 39.0 40.5 39.1 8.8 5.9 10.7 8.8 6.5 9.0 12.9 10.0 8.6 2.1 1.1 2.2 4.1 2.3 2.1 1.4 3.4 1.8

18.4 14.2 20.7 20.2 15.3 20.4 21 .o 18.0 18.5 2.7 3.1 2.4 3.1 2.3 2.8 3.4 2.0 2.9 2.2 2.0 2.2 2.9 2.0 2.0 2.8 1.9 2.2 1.4 1.3 1.4 1.6 1.3 1.4 1.5 1 .o 1.5

63.7 74.1 63.1 35.7 64.8 65.8 57.6 59.2 64.4 7.1 2.2 7.9 18.2 7.3 7.1 7.0 9.8 6.7 7.2 3.8 8.7 9.8 3.2 6.0 16.8 5.5 7.4 5.6 5.0 5.1 9.5 6.6 5.5 3.9 8.0 5.2 2.9 1.3 2.6 8.8 3.1 2.8 2.5 3,.5 2.8

13.6 13.5 12.6 18.1 15.1 12.8 12.2 14.0 13.5

4.4 5.3 4.1 3.0 4.6 4.3 4.0 3.9 4.4 4.9 4.1 4.6 9.0 5.9 4.3 4.2 5.4 4.8 4.3 4.1 4.0 6.2 4.6 4.1 4.1 4.7 4.2

57.7 58.4 56.1 63.2 56.0 57.4 61.6 55.5 58.1 68.5 67.2 68.1 73.8 66.2 67.9 73.8 69.7 68.3 60.0 60.8 58.5 64.9 58.7 59.3 63.9 59.7 60.1 89.0 89.4 88.7 89.8 89.3 88.9 88.7 87.8 89.2

9.9 11.2 9.7 7.2 10.4 9.6 9.7 9.8 10.0 51 .l 51.8 50.0 53.8 49.3 50.8 54.7 52.3 50.8 58.5 60.3 56.8 61.4 57.2 57.9 62.2 54.7 59.1 51.7 53.8 50.1 53.2 50.2 51 .I 55.8 49.7 52.1

*.2 *.1 *.2 l .8 ‘.2 ‘.3 * .2 ‘.3 *.2 *.I *.0 ‘.I *.2 ‘.I *.I *.1 ‘.l *.1

59.5 60.0 59.2 59.3 60.5 58.2 59.8 53.2 60.5

I I

10

Table 4. Number of female family planning patients, by patient status, age, education, and public assistance income, and percent distribution by prior contraceptive method, source of prior.method, contraceptive method adopted, and medical services provided, according to patient status, age, education, and public assistance income: United States, 1980-Con.

Education Public a@stance income,

Prior contraceptive method, source of prior method, contraceptive method adopted Total Receives Does not

or continued, and medical services provided Under 20-29 30 years Less than 12 years 13 years public receive

20 years years and over 12 ykars or more assistance public


r

Return patients

Number in thousands

Total ................................... 3.197 819 1,943 436 1,191 1,296 710 482 2,715


Total ................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Pill ..................................... 69.5 79.2 70.9 44.9 68.4 72.5 65.7 66.3 70.1 IUD .................................... 9.4 3.0 9.3 21.9 10.2 9.0 8.6 12.7 8.8 Diaphragm .............................. 5.4 2.0 6.3 7.7 2.0 4.1 13.5 3.9 5.7 Foam, jelly, or cream ...................... 3.5 2.6 3.2 6.7 3.8 3.5 3.0 4.2 3.4 Natural ................................. *.5 *.2 .4 *1.0 ‘.4 *.4 *.8 *.4 .5 Sterilization ............................. 1.4 *.2 1 .o 5.5 1.8 1.4 *.7 1.8 1.3 Other ................................... 1.6 1.4 1.4 3.1 1.9 1.5 1.4 1.4 1.7 Never used method regularly ............... 8.7 11.4 7.4 9.3 11.4 7.5 6.3 9.3 8.6


Sameseivicesite.. ........ .:.:. ......... 61.1 63.6 60.7 5814 61.7 62.3 58.0 58.4 61.6 Other service site ......................... 13.7 12.2 14.8 11:7 10.9 13.3 19.2 14.4 13.6 Hospital ................................ 3.2 2.2 3.1 5.5 4.0 3.1 2.1 4.9 2.9 Private physician ......................... 10.5 8.6 11 .l 11.1 9.6 11 .o 10.9 10.7 10.5 Drug store .............................. 1.2 .9 1.3 1.7 .9 1.3 1.6 *1.0 1.3 Other ................................... 1.0 .7 1 .o 1.5 1 .o .9 1.2 *.9 1 .o Unknown ............................... .6 ‘.4 .6 *.6 *.6 *.6 *.6 *.4 .6


.Pill ...................................... 65.5 79.1 66.0 37.4 65.6 67.8 61.2 60.6 66.4 *IUD .................................... 8.8 3.1 8.7 20.4 9.8 8.5 7.9 11.8 8.3 ..Diaphragm .............................. 7.0 3.2 8.0 9.5 2.9 5.7 16.2 5.2 7.3

Foam, jelly, or cream ...................... 4.9 3.9 4.4 9.0 6.1 4.8 3.1 7.0 4.6 Qther.....‘.................‘............: 3.0 1 .o 2.5 9.0 3.5 2.9 2.3 3.6 2.9 None...‘................................ 10.8 9.7 10.4 14.7 12.1 10.3 9.4 11.7 10.6

Reason for no method ‘Pregnant. ....................... 3.1 3.6 3.2 1.9 3.3 3.1 2.9. 3.1 3.1 Relying on partner ................ 4.1 3.0 3.7 7.7 4.9 3.7’ 3.4 4.7 4.0 Other. .......................... 3.6 3.0 3.5 5.1 3.9 3.6 3.1 3.9 3.5


Papsmear.; ............................ 52.9 45.2 53.8 63.1 49.1 53.3 58.4 53.0 52.8 Pelvic examination ........................ 64.0 56.1 65.4 72.6 59.8 63.7 71.3 67.5 63.3 Breast examination ....................... 54.9 47.5 56.0 64.4 51.2 55.2 60.8 57.1 54.5 Blood pressure iheck ..................... 89.1 87.9 89.1 91 .o 89.1 89.2 88.8 88.4 89.2 Pregnancy testing ......... , .............. 8.4 9.8 8.4 5.4 8.9 8.0 8.2 9.1 8.2 Venereal disease testing ................... 47.5 41.6 48.5 54.0 43.9 47.9 52.6 50.6 46.9 Urinalysis ... .:. ......................... 53.6 47.6 54.5 60.7 50.4 53.6 58.9 51.8 53.9 Blood test.......................: ....... 46.2 40.6 47.3 51.9 42.4 46.3 52.5 46.3 46.2 Sterilization ............................. *.2 *.1 *.2 *.7 *.2 *.3 *.2 *.4 *.2 lnfertifity .. 1.. ............................ *.1 *.0 ‘.O +.1 *.0 *.1 *.1 *.1 ‘.O Other medical.seririFes .......... , .......... 59.1 58.5 59.3 59.3 . 59.4 58.1 60.4 52.3 60.3

See footnota’and note at end of table.

11

Table 4. Number of female family planning patients. by patient status, age, education, and public assistance income, and percentdistributionby &or contraceptive method. source of pnor method, contraceptive method adopted, and medical services provided, according to patient status, age, education, and public assistance income: United States, 1980-Con.

Age Education Public assistance income


or continued. and medical services provided Under 20-29 30 years Less than 12 years

13 years public receive



New patients

Number in thousands

Total ................................... 1.779 884 749 147 814 619 347 213 1,567


Total ................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Pill ..................................... 31.5 21.1 43.0 35.7 24.0 38.9 35.9 32.7 31.4 IUD .................................... 2.9 .6 4.2 10.1 2.0 3.5 4.0 3.8 2.8 Diaphragm .............................. 2.4 ‘.5 4.0 5.4 .8 2.1 6.8 *2.2 2.5 Foam, jelly, or cream ...................... 4.3 3.6 4.8 6.4 3.2 5.0 5.8 3.8 4.4 Natural ................................. .9 .8 1 .o ‘1.7 *.6 .9 ‘1.7 *.5 1 .o Sterilization ............................. *.4 ‘.I *.5 ‘2.2 ‘.4 ‘.4 *.4 *.6 *.4 Other ................................... 2.9 3.0 2.5 ‘4.1 2.7 2.8 3.4 ‘1.9 3.0 Never used method regularly ............... 54.6 70.2 40.0 34.4 66.1 46.5 42.0 54.6 54.6


Same service site ........................ Other service site ........................ Hospital ................................ Private physician ......................... 32.7 19.4 45.6 46.8 23.5 39.9 41.5 34.7 Drug store .............................. 5.5 5.1 5.5 7.4 4.4 6.0 7.2 4.2 Other ................................... 4.4 3.2 5.3 6.9 3.6 4.5 6.0 4.1 Unknown ............................... 2.9 2.1 3.5 4.5 2.5 3.2 3.3 *2.4


Pill ..................................... 60.3 69.4 55.5 30.4 63.7 61.6 50.2 56.1 60.9 IUD .................................... 4.1 1.4 5.8 11.6 3.6 4.2 5.2 5.2 4.0 Diaphragm .............................. 7.5 4.4 10.5 10.7 3.6 6.6 18.1 6.2 7.7 Foam, jelly, or cream. ..................... 6.8 6.1 6.9 10.8 7.4 6.9 5.3 10.4 6.3 Other ................................... 2.6 1.6 2.8 8.1 2.4 2.7 3.1 3.2 2.6 None ................................... 18.6 17.1 18.5 28.4 19.4 17.9 18.0 19.1 18.6

Reason for no method Pregnant ........................ 6.6 6.9 6.4 6.1 6.5 7.1 6.3 5.7 6.8 Relying on partner ................ 6.4 5.1 6.7 12.9 7.2 5.8 5.8 7.0 6.4 Other ........................... 5.5 5.1 5.3 9.4 5.7 5.1 5.9 6.4 5.4


Papsmear.. ............................ 66.5 70.7 62.1 63.4 66.3 65.9 68.0 61.0 67.2 Pelvic examination ....................... 76.6 77.5 75.4 77.4 75.5 76.7 79.0 74.7 76.9 Breast examination ....................... 69.2 73.1 65.1 66.5 69.7 68.1 70.1 65.6 69.7 Blood pressure check ..................... 89.0 90.8 87.5 86.0 89.7 88.4 88.4 86.4 89.3 Pregnancy testing ........................ 12.8 12.5 13.1 12.5 12.6 12.9 12.9 11.2 13.0 Venereal disease testing ................... 57.5 61.2 54.0 53.5 57.2 57.1 59.0 56.2 57.7 Urinalysis ............................... 67.4 72.1 62.5 63.6 67.0 66.8 69.0 61.2 68.2 Blood test ............................... 61.6 66.0 57.3 57.3 61.7 61.1 62.4 57.2 62.2 Sterilization ............................. *.2 *.1 *.2 *1.1 *.2 *.2 *.2 *.3 *.2 Infertility ................................ *.1 * .o *.1 *.4 ‘.l *.1 *.1 *.1 * L-1 Other medical services .... .; .............. 60.1 61.3 58.9 59.4 62.1 58.4 58.6 55.2 60.8

1Ergures do not add to total because each visit may involve more than one medical service.


12

Table 5. Number of female family planning patients by race, age, education, and public assistance income, and percent distribution by prior contraceptive method, source of prior method, contraceptive method adopted orcontinued, and medical services provided, according to race, age, education, and public assistance income: United States, 1980

Public assistance Age Educe tion income

Prior contraceptive method, source of Does notprior method, contraceptive method adopted Total Receives receive or continued, and medical services provided Under 20-29 30 years Less than

12 years 13 years public public

20 years years and over 12 years or more assistance assistanceincome income

White patients

Number in thousands-

Total.................... ................ 3,552 1,233 1,934 386 1.429 1,321 803 329 3,223


Total ................................... 100.0 100.0 100.0 1CD.0 100.0 100.0 100.0 100.0 100.0


i Pill ..................................... 55.0 47.8 62.1 42.5 50.2 60.9 54.0 55.1 55.0 1t

IUD .................................... Diaphragm ..............................

6.5 4.9

1.6 1.3

7.6 6.6

17.3 7.5

6.6 6.4 1.5 3.7

6.7 12.8

9.7 4.3

6.2 4.9

Foam, jelly, or cream ...................... 3.9 3.3 3.8 6.6 3.6 4.2 4.1 4.4 3.9 Natural ................................. .7 *.6 .7 l 1.3 *.6 .6 1.2 *.6 .8 Sterilization ............................. .9 *.1 .7 4.5 1.1 .9 *.5 *1.6 .8 Other ................................... 2.3 2.6 1.8 3.8 2.5 2.1 2.2 1.9 2.3 Never used method regularly ............... 25.7 42.7 16.7 16.4 33.9 21.2 18.6 22.4 26.1


Same service site ........................ 37.0 28.7 41.7 39.9 34.6 39.2 37.5 36.4 37.0 Other service site ........................ 8.7 5.9 10.5 8.4 6.5 8.5 12.9 9.5 8.6 Hospital.. .............................. 1.5 .8 1.6 3.3 1.9 1.4 1 .o 2.7 1.4 Private physician ......................... 19.9 14.7 22.6 23.1 16.5 22.5 21.7 22.6 19.6 Drug store .............................. 3.2 3.7 2.8 3.6 2.8 3.3 3.7 2.9 3.2 Other ................................... 2.4 2.2 2.4 3.4 2.3 2.2 3.0 2.3 2.4 Unknown ............................... 1.6 1.4 1.6 1.8 1.5 1.6 1.6 *1.3 1.6


Pill ..................................... 63.5 73.8 62.7 35.1 64.8 66.2 56.8 56.4 64.3 IUD .................................... 6.6 1.9 7.5 16.8 7.0 6.2 6.6 9.4 6.3 Diaphragm .............................. 8.1 4.4 9.9 10.6 3.4 6.5 18.8 7.0 8.2 Foam, jelly, or cream ...................... 4.8 4.5 4.3 8.7 5.9 4.7 .3.2 6.7 4.6 Other ................................... 2.7 1.3 2.3 8.8 2.9 2.6 2.3 3.7 2.6

1 None ................................... 14.3 14.1 13.3 20.0 16.0 13.8 12.3 16.8 14.1 Reason for no method

Pregnant ........................ 4.8 5.8 4.5 3.5 5.0 5.0 4.3 5.1 4.8 Relying on partner ................ 5.2 4.2 4.9 10.1 6.4 4.6 4.0 6.7 5.0 Other. .......................... 4.3 4.1 4.0 6.5 4.6 4.1 4.0 5.0 4.2

Medical selvices provided’

Papsmear .............................. 58.0 58.8 56.5 62.8 55.9 57.6 62.2 55.4 58.2 Pelvic examination ....................... 68.2 67.1 67.9 72.8 65.7 67.4 74.0 68.1 68.2 Breast examination ....................... 60.0 60.8 58.6 64.8 58.4 59.1 64.4 58.2 60.2 Blood pressure check ..................... 88.4 88.5 88.1 89.3 88.9 87.9 88.3 85.4 88.7 Pregnancy testing ........................ 10.7 12.1 10.4 8.0 11.2 10.7 10.1 12.3 10.6 Venereal disease testing ................... 49.8 50.3 49.1 51.5 47.3 49.5 54.6 50.3 49.7 Urinalysis ............................... 60.3 62.0 58.6 63.1 58.5 60.0 63.9 59.0 60.4 Bloodtest. .............................. 52.9 55.1 51.3 53.4 50.7 52.3 57.8 51.6 53.0 Sterilization ............................. *.2 *.1 *.2 *.6 l .1 *.2 *.2 *.2 *.2 infertility. ............................... *.0 *.0 *.0 *.1 *.0 *.0 ‘.O *.1 *.0 Other medical services .................... 60.1 60.3 59.8 61.1 61.9 58.5 59.7 52.9 60.8


13

Table 5. Numberoffemalefamily planning patients by race, age, education, and public assistance in’come, and percent distribution by prior contraceptive method, source of prior method, contraceptive method adopted or continued, and medical services provided, according to race, age, education, and public assistance income: United States, 1980-Con.



receive or continued, and medical services provided Under 20-29 30 years Less then

12 years 13 years public



Black patients

Number in thousands

Total ................................... 1,301 438 689 174 530 549 222 349 952


Total ................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Pill ..................................... 58.9 53.1 66.6 43.0 51.5 64.2 63.4 57.4 59.4 IUD .................................... 8.3 2.4 8.4 22.5 7.4 9.0 8.4 10.0 7.6 Diaphragm .............................. 2.9 ‘1.0 3.3 6.4 1.4 3.0 6.4 2.6 3.1 Foam, jelly, or cream ...................... 3.5 2.4 3.3 6.7 3.4 3.6 3.5 3.7 3.4 Natural ................................. ‘.3 *.2 ‘.2 *.8 *.3 “.3 *.4 *.3 *.3 Sterilization ............................. 1.4 ‘.l 1.3 5.1 1.6 1.5 ‘.9 *1.4 1.4 Other ................................... 1.5 ‘1.4 1.4 ‘2.2 1.5 1.4 *1.6 ‘1.2 1.6 Never used method regularly ............... 23.2 39.3 15.5 13.3 32.9 17.1 15.3 23.5 23.1


Same service site ........................ 48.1 36.6 50.4 53.0 42.3 50.0 45.3 45.0 46.5 Other service site ........................ 9.3 5.9 11.3 9.8 6.6 10.4 13.0 IO,7 8.8 Hospital ................................ 3.5 1.8 4.0 6.1 3.5 3.7 *3.0 4.1 3.3 Private physician ......................... 14.0 12.6 15.2 12.9 11.4 14.9 18.1 ,13.5 14.2 Drug ;iore .............................. 1.5 * 1.4 1.3 *2.1 ‘1 .o 1.5 *2.4 ‘1.0 1.6 Other ................................... 1.5 1.5 1.4 ‘1.6 1.3 1.5 *1.9 ‘1.5 1.5 Unknown ............................... 1 .o ‘1.0 *.9 ‘1.2 *.9 ‘1.0 *1.1 “.7 1 .o


Pill ..................................... 65.0 75.7 65.1 37.5 65.9 65.8 60.8 62.6 65.8 IUD .................................... 8.0 2.7 8.2 20.3 7.4 8.7 7.7 9.7 7.4 Diaphragm .............................. 4.9 2.1 5.7 8.8 2.6 4.8 10.7 4.2 5.2 Foam, jelly, or cream ...................... 7.7 6.7 7.5 11.3 8.7 7.5 6.1 9.5 7.1 Other ................................... 3.0 ‘1 .o 2.9 8.4 3.0 2.9 ‘2.9 3.1 2.9 None ................................... 11.4 11.8 10.5 13.7 12.5 10.2 11.8 10.9 11.5

Reason for no method Pregnant ........................ 3.1 3.9 2.9 ‘1.9 3.5 2.7 *3.0 2.7 3.2 , Relying on partner ................ 4.0 3.8 3.6 6.4 4.3 3.5 4.6 4.0 4.0 Other. .......................... 4.3 4.2 4.0 5.4 4.7 4.0 4.1 4.2 4.3


Papsmear.. ............................ 57.9 57.9 55.8 65.7 ,56.9 57.5 60.8 55.9 58.6 Pelvic examination ....................... 70.2 68.2 69.5 77.7 68.4 70.0 74.8 71.7 69.6 Breast examination ....................... 61.5 61.7 59.8 67.7 60.6 61.3 64.3 61.9 61.3 Blood pressure check ..................... 91.9 92.7 91.2 92.9 91.6 92.5 91 .I 90.6 92.4 Pregnancy testing ........................ 7.7 8.6 7.7 5.4 8.0 7.0 8.5 7.4 7.8 Venereal disease testing ................... 55.3 56.6 53.2 60.6 55.4 54.6 56.5 54.7 55.6 Urinalysis ............................... 54.8 56.5 52.5 59.9 54.4 54.0 57.9 50.9 56.3 Blood test. .............................. 49.5 50.6 47.5 54.5 49.8 48.8 50.4 48.2 49.9 Sterilization ............................. *.3 *.1 ‘.3 *.8 *.3 *.2 *.2 *.3 *.2 Infertility. ............................... *.1 *.0 *.1 *.2 *.0 ‘.l *.1 *.1 *.1 Other medical services .................... 58.3 58.9 58.1 57.8 57.7 57.9 60.9 53.5 60.1

‘Figures do not add to total since each visit may involve more than one medical service.


14

L

Table 6. Number of female family planning patients by ethnicity, age, education, and public assistance income, and percent distribution by prior contraceptive method, source of prior contraceptive method, contraceptive method adopted or continued, and medical services provided, according to ethnicity, age, education, and public assistance income: United States, 1980

Public assistanceAge income

Prior contraceptive method, source of Does not irior method, contraceptive method adopted Total Receives receive or continued, end medical services provided Under 20-29 30 year.9 Less than

12 years 13 years public public

20 years years and over 12 years or more assistance assistanceincome income

Hispanic patients

Number in thousands

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 636 127 370 139 393 181 61 79 556

Percent distributionI Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 100.0 loQ.0 100.0 100.0 100.0 100.0 100.0 100.0 I

Prior contraceptive method II

Pill ..................................... IUD .................................... Diaphragm .............................. Foam, jelly, or cream ...................... Natural .................................

I Sterilization ............................. Other ...................................

I Never used method regularly ...............


Same service site ........................ Other service site ........................ Hospital ................................ Private physician ......................... Drug store .............................. Other ................................... Unknown ...............................

50.6 44.4 56.6 40.2 48.0 55.6 52.6 51.6 50.4 12.7 ‘3.8 12.5 21.3 13.9 10.7 *IO.6 16.0 12.2

2.0 *.6 *2.1 ‘3.2 *1.2 ‘2.6 *5.7 $1.8 2.1 3.6 ‘1.7 3.2 ‘6.5 3.5 ‘3.8 *4.4 *4.9 3.5 *.7 *.4 *.5 *1.4 *.6 *.6 *1.0 *.6 *.7

*1.3 *.1 *.7 *4.0 ‘1.4 *1.1 *.9 * 1.6 * 1.3 2.3 *1.5 *1.9 *4.0 *2.4 ‘2.0 *2.5 *1.9 2.3

26.8 47.5 22.5 19.4 29.0 23.6 22.4 21.6 27.6

37.2 23;l 39.3 44.7 37.6 36.9 36.0 34.9 37.6 9.2 *5.8 10.2 9.7 8.7 9.2 ‘12.3 10.9 9.0 3.0 *2.5 3.0 *3.6 3.4 $2.7 *1.9 $5.9 2.6

18.0 16.4 19.4 15.8 15.9 22.2 19.5 21.4 17.5 2.0 ‘1.1 *2.0 *2.8 *2.0 * 1.8 ‘2.8 ‘2.6 1.9 2.5 *2.6 *2.4 *2.8 *2.3 *2.6 *3.7 *1.8 2.6

*1.2 *.9 *1.2 *1.2 *1.1 * 1.2 ‘1.4 *1.0 ‘1.2


Pill..: .................................. IUD .................................... Diaphragm .............................. Foam, jelly, or cream ...................... Other ................................... None ...................................

Reason for no method Pregnant ........................ Relying on partner ................ Other. ..........................


Papsmear.. ............................ Pelvic examination ....................... Breast examination ....................... Blood pressure check ..................... Pregnancy testing ........................ Venereal disease testing ................... Urinalysis. .............................. Blood test. .............................. Sterilization ............................. Infertility ................................ Other medical services ....................


54.3 66.7 58.1 32.9 52.3 58.5 54.8 51.2 54.8 13.7 *5.4 13.3 22.1 15.3 10.9 ‘11.0 15.8 13.4

3.5 *2.3 3.6 ‘4.4 *2.2 ‘4.0 *lo.2 ‘4.1 3.4 6.2 *5.4 5.4 9.2 6.4 6.0 *5.7 l 8.1 5.9 3.1 *.9 *2.2 7.5 3.5 ‘2.6 ‘2.2 ‘3.2 3.1

19.2 19.4 17.4 24.0 20.3 18.1 16.1 17.6 19.5

3.7 *6.4 3.4 ‘2.2 3.5 ‘4.5 *3.1 ‘3.6 3.8 10.6 7.8 9.9 14.8 11.9 8.7 *7.8 *8.9 10.8

4.9 *5.3 4.0 6.9 4.9 4.8 *5.2 ‘5.1 4.9

57.5 57.3 55.6 62.8 56.7 58.3 60.0 54.5 57.9 71.1 70.1 70.6 73.3 71.2 69.7 74.3 72.1 70.9 62.8 63.1 61.1 67.0 63.2 60.7 66.2 60.0 63.1 91.1 90.9 91 .l 90.9 91.6 90.0 91 .o 89.1 91.3

8.5 10.8 8.5 *6.3 8.5 8.8 *7.6 9.9 8.3 44.6 44.9 43.3 47.5 42.7 47.0 49.4 52.4 43.4 58.2 60.1 56.3 61.5 56.8 59.3 63.8 58.9 58.1 46.6 48.7 45.2 48.2 47.7 43.2 49.1 46.3 46.6

*.2 *.1 *.2 *.4 *.2 *.3 *.1 *.3 *.2 ‘.l *.1 *.2 *.1 ‘.O *.2 ‘.I *.I

63.6 63.8 63.1 64.7 65.4 60.9 59.4 51.4 66.3

15

Table 6. Number of female family planning patients by ethnicity, age, education, and public assistance income, and percent distribution by prior contraceptive method, source of prior contraceptive method, contraceptive method adopted or continued, and medical services provided, according to ethnicity, age, education, and public assistance income: United States, 1980-Con.

Education Public assistance income


receive or continued, and medical services provided Under 20-29 30 years Less than 72 years

13 years public 20 years years and over 12 years or more assistance public

assistanceincome income

Non-Hispanic patients

Number in thousands

Total ................................... 4,341 1,576 2,32 1 444 1,612 1,734 996 615 3,726


Total ................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Pill ..................................... IUD .................................... Diaphragm .............................. Foam, jelly, or cream ...................... Natural ................................. Sterilization ............................. Other ................................... Never used method regularly ...............


Same service site ........................ Other service site ........................ Hospital ................................ Private physician ......................... Drug store .............................. Other ................................... Unknown ...............................


Pill ..................................... IUD .................................... Diaphragm .............................. Foam, jelly, or cream ...................... Other ................................... None. .......................... ..t .....

Reason for no method Pregnant ........................ Relying on partner ................ Other. ..........................


Papsmear.. ............................ Pelvic examination ....................... Breast examination ....................... Blood pressure check ..................... Pregnancy testing ........................ Venereal disease testing .................... Urinalysis. .............................. Blood test ............................... Sterilization ............................. Infertility ................................ Other medical services ....................

56.7 49.4 64.2 43.3 51.0 62.3 56.1 56.5 56.7 6.2 1.6 7.1 18.1 5.2 6.9 6.9 9.2 5.8 4.7 1.3 6.3 8.3 1.6 3.6 1 1.6 3.6 4.9 3.8 3.2 3.7 6.6 3.6 4.0 3.9 4.0 3.8

.6 .5 .6 ‘1.1 *.5 .5 1 .l *.4 .7 1 .o *.I .9 4.9 1.2 1.1 .6 1.4 .9 2.0 2.3 1.7 3.1 2.2 1.9 2.0 1.5 2.1

24.9 41.5 15.5 14.5 34.7 19.8 17.7 23.4 25.1

39.6 31.2 44.5 43.4 36.4 42.7 39.2 41.2 39.3 8.7 5.9 10.8 8.5 5.9 9.0 13.0 9.9 8.6 1.9 .9 2.1 4.3 2.1 2.1 1.4 3.1 1.7

18.5 14.0 20.9 21.5 15.1 20.2 21 .l 17.6 18.6 2.8 3.2 2.5 3.2 2.4 2.9 3.5 1.9 3.0 2.1 1.9 2.1 2.9 1.9 2.0 2.7 1.9 2,.2 1.4 1.3 1.5 1.7 1.4 1.4 1.5 ‘1.0 1.5

65.0 74.7 63.9 36.5 67.9 66.6 57.7 60.2 65.8 6.2 2.0 7.0 16.9 5.3 6.7 6.7, 9.0 5.7 7.7 3.9 9.5 11.5 3.4 6.2 17.2 5.7 8.0 5.5 5.0 5.1 9.5 6.7 5.5 3.7 8.0 5.1 2.8 1.3 2.6 9.2 3.0 2.9 2.5 3.5 2.7

12.7 13.1 1 1.9 16.3 13.8 12.2 12.0 13.5 12.6

4.5 5.2 4.2 3.2 4.9 4.3 4.0 3.9 4.5 4.1 3.8 3.7 7.2 4.4 3.9 4.0 5.0 3.9 4.2 4.0 4.0 5.9 4.6 4.0 4.0 4.6 4.1

57.8 58.5 56.2 63.3 55.9 57.3 61.7 55.6 58.1 68.1 67.0 67.8 74.0 65.0 67.8’ 73.8 69.4 67.9 59.6 60.6 58.1 64.2 57.6 59.2 63.7 59.7 59.6 88.8 89.3 88.3 89.4 88.8 88.8 88.5 87.6 88.9 10.1 11.2 9.9 7.4 10.8 9.7 9.9 9.7 10.2 52.0 52.3 51 .l 55.8 51 .o 51.2 55.0 52.3 52.0 58.6 60.3 56.8 61.4 57.3 57.8 62.1 54.2 59.3 52.5 54.2 50.9 54.8 50.9 51.9 56.2 50.1 52.9

*.2 *.1 *.2 *.9 *.2 ‘.3 *.2 *.3 * .2 *.1 *.0 *.1 *.2 * .o *.1 ‘.l “.l *.1

58.8 59.7 58.5 57.6 59.3 57.9 59.8 53.4 59.7

‘Figures do not add to total since each visit may involve more than one medical service.


16

.Table 7. Number of female family planning patients by patient status, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to patient status, age, education, and public assistance income: United States, 1980

Public assistance

Number ofpregnancies, live births, fetal deaths, Total Receives Does not

receiveand induced aBortions since 7973 Under 20-29 30 years Less than j2 years

13 years public public20 years years and over 12 years or more assistance assistanceincome

income

All patients

Number in thousands

Tota I ................................... 4.977 1,703 2,691 583 2,005 1,915 1,057 695 4,282

1 Percent distribution

Total ................. . ................. 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Number of pregnancies1

Never pregnant .......................... 43.5 68.3 34.9 10.9 41.7 39.3 54.5 19.8 47.3 One pregnancy.. ........................ 25.8 24.3 29.5 13.0 23.6 28.6 24.8 31.8 24.8 Two pregnancies or more .................. 30.7 7.4 35.6 76.1 34.7 32.1 20.6 48.4 27.8

Number of live births

No live births ............................ 54.3 79.4 47.0 15.0 48.8 50.4 72.1 24.7 59.1 One live birth ............................ 22.1 17.0 26.8 15.1 22.0 25.7 15.5 37.1 19.8 Two live births or more ................... 23.6 3.6 26.2 69.9 29.2 23.9 12.4 38.2 21.2

Number of fetal deaths

No fetal deaths .......................... 77.3 85.9 74.0 67.1 79.9 76.5 73.8 72.7 78.0 One fetal death .......................... 16.9 12.2 19.1 20.6 14.8 17.7 19.4 18.8 16.6 Two fetal deaths ......................... 4.3 1.6 5.2 7.8 3.8 4.3 5.1 5.9 4.0 Three fetal deaths or more ................. 1.5 *.3 1.7 4.4 1.5 1.5 1.7 2.7 1.3

Number of induced abortions since 1973

No induced abortions ..................... 84.6 88.8 81.8 85.2 88.2 83.6 79.3 82.3 84.9 One induced abortion ...................... 12.4 9.9 14.3 10.8 9.5 13.1 16.5 13.4 12.2 Two induced abortions .................... 2.4 1.2 3.1 2.9 1.8 2.6 3.3 3.2 2.3 Three induced abortions or more ........... .6 *.2 .7 1.2 .5 .6 .8 1.1 .5 Unknown ...............................

Return patients

Number in thousands

Total ................................... 3,197 819 1.943 436 1,191 1,296 710 482 2,715


Total....................: .............. 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Number of pregnancies

Neverpregnant .......................... 36.7 59.8 33.0 9.8 29.9 34.7 51.9 15.6 40.5 One pregnancy .......................... 27.6 30.0 30.0 12.3 26.0 29.9 26.2 31.2 27.0 Two pregnancies or more .................. 35.7 10.2 37.0 77.9 44.2 35.4 21.9 53.2 32.6


No live births ............................ 48.5 74.4 45.4 13.6 37.6 46.2 70.9 20.1 53.6 Onelivebirth ............................ 23.8 20.6 27.2 14.7 24.6 27.2 16.1 37.3 21.4 Two live births or more ................... 27.7 5.0 27.4 71.8 37.8 26.5 13.0 42.8 25.1


No fetal deaths .......................... 74.6 81.3 73.4 67.3 76.0 75.0 71.6 71 .l 75.2 One fetal death .......................... 18.8 16.2 19.5 20.9 17.6 18.6 21.0 19.9 18.7 Two fetal deaths ......................... 4.9 2.1 5.4 7.7 4.7 4.6 5.6 6.1 4.6 Three fetal deaths or more ................. 1.7 *.4 1.7 4.2 1.7 1.6 : .8 2.9 1.5

.


17

Table 7. Number of female family planning patients by patient status, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to patient status, age, education, and oublic assistance income: United States, 1980-Con.


Numberofpregnancies. live births. fetal deaths, Total Receives Does not

and induced abortions since 1973 Under 20-29 30 years Less than 12 years


20 years years and over 12 years or more assistance public assistance

Return patients-Con.


No induced abortions.. . . . . . , . 82.7 84.7 81.2 85.3 One induced abortion.. . . . . . . 13.9 13.6 14.7 10.6 Two induced abortions.. . . . . . . 2.8 1.5 3.3 3.0 Three induced abortions or more . . .7 *.2 .8 *1.1 Unknown.............................

New patients

Total................................. 1.779 884 749 147

Total................................. 100.0 100.0 100.0 100.0


Never pregnant ........................ 55.7 76.2 39.7 14.1 One pregnancy ........................ 22.6 18.9 28.3 15.2 Two pregnancies or more ................ 21.7 4.9 32.0 70.7


No live births .......................... 64.8 84.1 51 .1 19.2 One live birth .......................... 18.9 13.7 25.6 16.3 Two live births or more ................. 16.3 2.2 23.3 64.5


No fetal deaths ........................ 82.0 90.1 75.5 66.6 One fetal death ........................ 13.4 8.5 18.0 19.9 Two fetal deaths ....................... 3.3 1.2 4.7 8.3 Three fetal deaths or more ............... 1.2 *.2 1.7 5.2


No induced abortions ................... 88.0 92.5 83.3 84.8 One induced abortion ................... 9.8 6.5 13.3 11 .I Two induced abortions .................. 1.8 .8 2.7 ‘2.7 Three induced abortions or more ......... .5 *.1 ‘.7 ‘1.4 Unknown .............................


18

income income

85.8 82.6 77.4 81 .1 82.9

11.4 13.9 17.8 14.2 13.82.2 2.8 3.8 3.4 2.7 ‘5 ‘.7 .Q +1.2 .6

Number in thousands

814 619 347 213 1,567


100.0 100.0 100.0 100.0 100.0

59.0 49.0 59.9 29.3 59.3 20.2 25.9 22.1 33.3 21 .I 20.8 25.0 18.0 37.4 19.6

65.1 59.1 74.4 35.2 68.8 18.3 22.4 14.3 36.6 16.5 16.6 18.5 11.3 28.2 14.6

85.6 79.6 78.2 76.4 82.8 10.7 15.4 16.2 16.2 13.1

2.5 3.8 4.1 5.3 3.0 1 .I 1.3 * 1.4 *2.2 1.1

91.8 85.7 83.2 85.0 88.4 6.8 11.5 13.7 11.4 9.5 1.1 2.2 2.3 “2.8 1.6 *.3 *.5 ‘.8 *.9 *.4

0

!

i

Table 8. Number of female family planning patients by race, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to race, age, education, and public assistance income: United States, 1980

Public assistanceAge income

Number ofpregnancies, live I Crths, fetal deaths, Total Receives Does not’

and mduced abortions since 1973 Under 20-2s 30 years Less than 12 years




White patients

rvumber in thousands

Total................................... 3,552 1,233 1,934 386 1,429 1,321 803 329 3,223


Total................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Neverpregnant .......................... 46.8 71.8 38.3 10.0 42.2 44.3 59.2 20.3 49.5 One pregnancy.. ........................ 25.0 22.0 29.1 13.5 23.4 27.7 23.2 32.1 24.2 Two pregnancies or more .................. 28.2 6.2 32.6 76.6 34.4 28.0 17.6 47.7 26.2


No live births ............................ 58.7 83.4 51.7 14.7 49.6 57.1 77.5 26.1 62.0 Onelivebirth ............................ 19.8 13.9 24.4 15.0 21.5 22.5 12.1 37.0 18.0 Two live births or more ................... 21.5 2.7 23.8 70.3 28.9 20.4 10.3 36.9 20.0


No fetal deaths .......................... 77.7 85.9 74.6 67.1 79.9 76.8 75.2 72.6 78.2 One fetal death .......................... 16.8 12.2 18.9 20.8 14.9 17.6 18.8 18.8 16.6 Two fetal deaths ......................... 4.1 1.6 5.0 7.8 3.9 4.2 4.4 6.0 4.0 Three fetal deaths or more ................. 1.4 *.3 1.5 4.3, 1.4 1.3 1.5 2.7 1.3


’ No induced abortions ..................... 84.6 88.6 81.9 85.5 88.4 83.3 80.1 82.0 84.9 One induced abortion ..................... 12.5 10.1 14.4 10.4 9.5 13.5 16.1 13.7 12.3 Two induced abortions .................... 2.4 1.2 3.0 3.0 1.8 2.7 3.0 3.2 2.3 Three induced abortionsor more ........... .5 *.1 .7 *1.1 *.4 *.5 .8 *1.1 .5 Unknown ...............................


19

Table 8. Number of female family planning patients by race, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to race, age, education, and public assistance income: United States, 1980-Con.


Number ofpregnancies, live births, fetal deaths, Total Receives Does not and induced abortions since 1973

Under 20-29 30 years Less than 12 years


20 years years end over 12 years or more assistance public


Black patients

Number in thousands

Total.................................. 1,301 438 689 174 530 549 222 349 952


Total................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Never pregnant .......................... 34.0 58.1 24.5 10.9 40.0 26.7 37.6 19.0 39.5 One pregnancy.. .................. . ..... 28.5 31.0 31 .o 12.3 24.5 31.5 30.6 32.1 27.2 Two pregnancies or more .................. 37.5 10.9 44.4 76.9 35.4 41.7 31.8 48.9 33.3


Nolivebirths ............................ 42.1 67.9 32.9 13.6 46.4 33.8 52.4 23.1 49.1 One live birth ............................ 28.8 26.0 33.8 15.6 23.7 34.0 27.9 37.8 25.4 Two live births or more ................... 29.1 6.1 33.2 70.8 29.9 32.2 19.7 39.1 25.5


No fetal deaths .......................... 76.0 85.7 72.2 66.7 79.6 75.5 68.6 72.7 77.2 One fetal death .......................... 17.5 12.4 19.9 20.7 14.9 ‘I 8.2 21.8 18.9 16.9 Two fetal deaths ......................... 4.7 1.6 5.8 7.8 3.7 4.5 7.6 5.8 4.3 Three fetal deaths or more ................. 1.8 ‘.3 2.1 4.7 1.8 1.8 *2.1 2.6 1.6


No induced abortions ................... 84.5 89.0 81.5 84.5 87.8 84.3 76.9 82.5 85.2 One induced abortion ................... 12.2 9.7 14.0 11.7 9.9 12.4 17.5 13.1 12.0 Two induced abortions .................. 2.6 *1 .o 3.5 ‘2.6 1.8 2.4 4.7 3.3 2.3 Three induced abortions or more ......... ‘.7 *.3 ‘.9 *1.3 +.6 *.8 *.9 *1.1 *.6 Unknown.. ...........................


20

Table 9. Number of female family planning patients by ethnicity, age, education, and public assistance income, and pement distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to ethnicity, age, education, and public assistance income: United States, 1980

Public assfstanceAge income

Number ofpregnancies, live births, fetal deaths, Total Receives Does not and induced abortions since 1973 Under 20-29 30 years Lass than

12 years 13 years public receive


income income

Hispanic patients

Number in thousands

Total................................... 635 127 370 139 393 181 61 79 556


Total .................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Never pregnant .......................... 19.6 48.2 15.6 *4.4 14.7 24.4 37.3 9.9 21 .o One pregnancy.. ........................ 25.3 36.3 28.2 7.3 23.0 29.4 27.3 26.7 25.1 Two pregnancies or more .................. 55.1 15.5 56.2 88.4 62.3 46.1 35.4 63.4 53.9


No live births ............................ 25.5 57.7 21.7 *6.4 18.6 31.8 50.9 13.2 27.3 One live birth ............................ 26.8 33.5 30.9 9.6 25.3 30.8 23.9 32.4 26.0 Two live births or more ................... 47.7 8.8 47.4 84.0 56.0 37.4 25.3 54.4 46.8


No fetal deaths .......................... 73.3 83.9 73.3 63.6 72.3 76.2 71.6 68.2 74.1 One fetal death .......................... 18.8 13.5 19.1 21.7 19.1 17.2 19.2 21.0 18.2 Two fetal deaths ......................... 5.8 *2.2 5.6 9.8 6.2 4.9 *6.4 *7.0 5.7 Three fetal deaths or more ................. 2.3 *.4 *1.9 *4.9 2.4 *1.8 ‘2.9 *3.8 2.1


No induced abortions ..................... 85.0 88.9 83.7 85.1 85.6 85.7 79.3 79.4 85.8 One induced abortion ..................... 11.4 9.3 12.6 9.8 11 .o 11 .o 14.8 14.9 10.9 Two induced abortions .................... 2.9 ‘1.6 2.9 84.0 2.7 *2.7 ‘4.3 f3.9 2.7 Three induced abortions or more ........... *.8 ’ .2 *.8 *1.1 *.7 *.6 *1.6 *1.9 *.6 Unknown ...............................


21

Table 9. Number of female family planning patients by ethnicity, age, education, and public assistance income, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to ethnicity, age, education, and public assistance income: United States, 1980-Con.

Age Education Pdblic assistance income

Numberofpregnancies, live births, fetal deaths, Total Receives Does not and induced abortions since 1973 Under 20-29 30 years Less than

12 years 13 years public receive


income income


Number in thousands I

Total................................ 4,341 1,576 2,321 444 I ,612 1,734 996 615 3,726

Total............................


Never pregnant . . . . . . . . One pregnancy . . . . . . . . . . . Two pregnancies or more.. . . .


No live births.. . . . . . . One live birth.. . . . . . . . . . . . . . . Two live births or more . . . . . . .


No fetal deaths ................... One fetal death ................... . Two fetal deaths .................. . . Three fetal deaths or more .......... .

Number of induced abortions

No induced abortions.. . . . . . . . One induced abortion,. . . . . . . . . . Two induced abortions.. . . . . . . Three induced abortions or more . Unknown........................


22


100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

..;i

47.0 69.9 38.0 12.9 48.3 40.9 55.6 21 .I 51.3 25.9 23.3 29.7 14.8 23.8 28.5 24.7 32.5 24.8 27.1 6.8 32.3 72.3 27.9 30.6 19.7 46.4 23.9

58.6 81.2 51 .o 17.7 56.1 52.3 73.4 26.2 63.9 21.4 15.7 26.1 16.8 21.2 25.1 15.0 37.7 18.7 20.1 3.2 22.9 65.5 22.7 22.5 11.6 36.1 17.4

77.8 86.0 74.1 68.2 81.7 76.5 73.9 73.3 78.6 16.7 12.1 19.1 20.3 13.8 17.8 19.5 18.5 16.4

4.1 1.6 5.1 7.2 3.2 4.3 5.1 5.7 3.8 I .4 *.3 1.6 4.3 I .3 1.5 1.6 2.5 1.2

84.5 88.7 81.5 85.2 88.9 83.4 79.3 82.7 84.8 12.5 10.0 14.6 11 .I 9.2 13.4 16.6 13.2 12.4

2.4 1 .l 3.2 2.6 1.5 2.6 3.3 3.2 2.2 .6 *.2 .7 ‘I.2 ‘.4 .6 .8 ‘1 .o .5

Table 10. Number of female family planning patients by patient status and prior contraceptive method, and percent distribution by number of pregnancies, number of live births, number offetal deaths, and number of induced abortions since 1973, according to patientstatus and priorcontraceptive method: United States, 1980

-.


Number ofpregnancies. live births, fetaldeaths, Total Never used and induced abortions since 1973 Pill IUD Diaphragm

Foam. jelly, Natural Sterilization Other method

or cream regular&

All patients

Total ...................................

Total ...................................


Neverpregnant .......................... One pregnancy .......................... Two pregnancies or more .................


No live births ............................ One live birth ............................ Two live births or more ...................


No fetal deaths .......................... One fetal death .......................... Two fetal deaths ......................... Three fetal deaths or more .................


No induced abortions ..................... One induced abortion ..................... Two induced abortions .................... Three induced abortions or more ........... Unknown ...............................

Return patients

Number in thousands

4.977 2,782 352 216 190 32 52 103 1.250


100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

43.5 40.8 16.5 40.9 36.8 ‘49.0 *8.5. 43.0 59.9, 25.8 28.7 25.5 26.0 22.5 *lg.8 *9.0 19.7 21.3 30.7 30.5 58.0 33.1 40.7 ‘31.2 82.6 37.3 18.8

54.3 53.2 24.7 60.8 46.1 59.4 *10.3 51.5 67.4 22.1 24.0 27.9 18.2 20.2 *15.9 *10.4 17.6 18.1 23.6 22.9 47.4 21 .o 33.8 *24.7 79.4 30.8 14.6

77.3 76.3 67.3 65.2 74.8 77.5 68.8 77.3 85.0 7 6.9 18.2 21.8 24.0 17.4 *14.2 ‘20.2 15.8 11.5

4.3 4.3 7.7 7.4 *5.5 ‘6.1 *5.9 *5.0 2.5 1.5 1.2 ‘3.2 ‘3.4 *2.3 *2.3 *4.2 *1.9 *1.1

84.6 83.2 79.8 73.0 85.2 84.9 89.0 86.5 90.5 12.4 13.9 14.7 19.9 11.2 *10.7 *8.5 ‘10.1 7.7

2.4 2.4 ‘4.2 ‘5.5 ‘2.6 *3.4 *1.7 *3.0 1.4 .6 *.5 * 1.2 * 1.6 *1.1 *1.0 *.8 *.4 ‘.4

Number in thousands

Total ................................... 3,197 2,222 299 173 113 +I5 45 52 278


Total ................................... 100.0 100.0 100.0 100.0 100.0 ‘100.0 100.0 100.0 100.0


Neverpregnant .......................... 36.7 40.8 16.0 41.4 26.5 *39.8 ‘6.4 *26.6 33.9 One pregnancy .......................... 27.6 28.3 25.2 25.6 24.4 *21.7 *8.8 +23.2 30.9 Two pregnancies or more ................. 35.7 30.8 58.8 33.1 49.1 *38.5 84.8 50.2 35.1


No live births ............................ 48.5 52.9 23.6 61.4 35.2 * 54.0 *7.9 36.0 46.0 One live birth ............................ 23.8 23.8 27.8 17.8 23.6 *15.7 *10.2 *21.7 25.9 Two live births or more ................... 27.7 23.2 48.6 20.9 41.1 *30.3 81.9 42.2 28.1

1 Number of fetal deaths

No fetal deaths .......................... 74.6 76.7 67.8 64.6 71.5 *69.9 69.2 71.9 74.6 One fetal death .......................... 18.8 17.9 21.8 24.0 19.8 *20.2 *20.6 ‘19.6 19.0 Two fetal deaths ......................... 4.9 4.2 7.5 *7.5 *5.9 ‘7.0 ‘6.0 *5.6 ‘4.4 Three fetal deaths or more ................ 1.7 1.2 ‘2.9 *3.7 *2.7 *2.9 *4.2 ‘3.0 *1.9

SDR note at end of table.

23

i

I

Table 10. Number of female family planning patients by patient status and prior contraceptive method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to patient status and prior contraceptive method: United States, 1980-Con.


Numberofpregnancies, live births, fetaldeaths, Total Never used

and induced abortions since 7 973 Pill IUD Diaphragm Foam, jelly,

Natural Sterilization Other method or cream regularly

Return patients-Con

Number of induced abortions scnce 1973

No induced abortions.. . . . . . . . . . . 82.7 83.4 80.2 72.7 84.4 * 80.0 89.0 84.2 83.9 One induced abortion.. . . . . . . . . . . . 13.9 13.7 14.7 19.7 ‘11.7 ‘14.0 *8.6 *11.7 12.8 Two induced abortions.. . . . . . . . . . . . 2.8 2.5 *3.9 ‘5.9 *2.8 “5.1 *1.5 *3.3 “2.6 Three induced abortions or more . . . . . .7 *.5 *1.2 *1.7 ‘1.1 ‘.9 *.9 *.8 *.7 Unknown...............................

New patients

Total...................................

Total ...................................


Never pregnant .......................... One pregnancy .......................... Two pregnancies or more .................




No fetal deaths .......................... One fetal death .......................... Two fetal deaths. ........................ Three fetal deaths or more ................


No induced abortions ..................... One induced abortion ..................... Two induced aborhons. ................... Three induced abortions or more ........... Unknown ...............................


24

Number in thousands

1,779 561 52 43 77 17 *7 51 971


100.0 100.0 100.0 100.0 100.0 100.0 *100.0 log.o 100.0

55.7 40.8 18.9 39.1 51.8 57.2 *21.0 59.7 67.4 22.6 30.1 27.2 27.7 19.8 *18.1 *lo.0 *16.2 18.5 21.7 29.1 53.9 33.2 28.3 *24.6 ‘69.1 24.1 14.2

64.8 54.0 31.3 58.6 61.9 64.2 *24.7 67.4 73.5 18.9 24.6 28.2 19.8 15.1 *16.1 ‘11.6 *13.4 15.8 16.3 21.4 40.6 21.5 23.0 *lg.8 ‘63.7 19.2 10.7

82.0 75.0 64.6 66.6 79.6 84.2 *73.3 82.8 87.9 13.4 19.2 21.4 24.2 13.9 +8.8 ‘17.3 *12.1 9.3

3.3 4.3 ‘9.4 ‘6.9 *4.9 ‘5.2 *5.3 *4.4 2.0 1.2 *1.5 *4.6 ’ 2.3 ‘1.6 ‘1.8 *4.1 *.7 +.8

88.0 82.5 77.6 74.3 86.2 89.2 *aa. 88.8 92.4 9.8 14.7 ‘14.8 20.4 ‘10.4 * 7.8 *7.6 *8.4 6.3 1 .a 2.3 “5.9 *4.0 ‘2.4 ‘2.0 *3.2 ‘2.8 1 .o

.5 *.5 ‘1.7 ‘1.3 ‘1.0 ‘1.0 *.3 “.O *.3

i

.

Table 11. Number of female family planiing patients by race and prior contraceptive method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to race and prior contraceptive method: United States, 1980


Numberofpregnancies, live births, fetaldeaths, Totaland induced abortions since 1973

White patients

Total ...................................

I Total ...................................




No live births ............................ One live birth ............................ Two live births or more ................... .


No fetal deaths .......................... One fetal death .......................... Two fetal deaths ......................... Three fetal deaths or more ................


No induced abortions ..................... One induced abortion. ..................... Two induced abortions .................... Three induced abortions or more ........... Unknown ...............................

Black patients

Total ...................................

Total ...................................


Never pregnant .......................... Onepregnancy .......................... Two pregnancies or more ..................


No live births ............................ One live birth ............................ Two live births or more ....................




No induced abortions ..................... ’One itiduced abortion .....................

Two induced abortions .................... Three induced abortions or more ........... Unknown ...............................

Pill IUD Diaphragm

3,552 1,955 232 173

100.0 100.0 IO?.0

46.8 43.4 18.5 45.4 25.0 28.3 26.9 26.1 28.2 28.2 54.7 28.4

58.7 57.2 28.3 66.5 19.8 21 .s 27.1 16.1 21.5 21 .o 44.6 17.4

77.7 76.2 67.9 ,67.2 18.8 18.4 21.7 23.5

4.1 4.2 7.5 *6.8 1.4 1.2 ‘3.0 *2.5

84.6 82.8 80.1 74.1 12.5 14.3 14.4 19.5

2.4 2.4 *4.3 *5.1 .5 ‘.4 *1.2 *1.3

766 108 38

100.0 100.0 100.0

34.0 33.6 11.0 *20.9 28.5 30.1 22.9 *25.3 37.5 36.3 66.0 53.8

42.1 42.4 16.3 35.9 28.8 29.9 29.7 27.7 29.1 27.7 54.0 36.4

76.0 76.5 85.2 56.8 17.5 17.7 22.9 *28.1

4.7 4.4 *8.3 *lo.0 1.8 1.4 *3.6 *7.0

84.5 84.0 78.8 68.8 12.2 12.9 15.8 *21.6

2.6 2.4 *4.1 ‘7.0 *.7 *.6 *I.3 *2.5

Foam, jelly, Natural or cream

Number in thousands

140 27


100.0 100.0

40.0 *50.2 21.7 *IS.9 38.3 *30.8

49.5 61.2 18.5 *14.9 32.0 *24.0

76.8 77.9 16.1 *13.4 ‘5.3 *6.4 *1.8 ‘2.3

85.9 85.1 *IO.8 ‘10.4

*2.6 *3.6 *.7 *.9

Number in thousands

45 *4


100.0 ‘100.0

25.9 *41.8 26.2 *22.8 47.9 *35.4

34.5 *45.2 26.8 ,*24.6 38.9 *30.2

68.3 ‘74.8 *21.8 *17.7

*6.3 *5.0 *3.6 *2.5

82.8 85.9 *.12.1 *10.3

*2.9 *3.0 *2.2 *.9

Never used Sterilization Other method

regularly

32 81 914

100.0 100.0 100.0

*9.2 46.2 63.9 * 10.3 *IS.3 18.8

80.5 35.5 17.3

*11.4 54.8 71.6 *11.8 * 16.0 15.0

76.7 29.2 13.4

70.9 78.1 85.7 ‘18.8 *15.1 11 .I

*6.4 *5.1 2.3 *4.1 *1.7 *1.0

90.5 87.3 90.9 *6.7 ‘9.3 7.5 *2.0 *3.0 *1.2

*.7 *.4 * .4

18 19 302

100.0

* 5.1 *30.0 48.0 *6.5 *26.4 28.9 88.5 *43.6 23.2

* 6.0 *38.6 54.7 ‘7.8 *25.8 27.6 86.1 *35.8 17.6

66.7 73.0 82.9 *23.6 *Is.5 12.7

*5.1 *5.2 *3.1 *4.6 *2.3 * 1.3

83.0 89.7 *13.4 8.2

*3.2 *1.7 ‘.4 *.4

NOE Figures may not add to total due to rounding.

25

Table 12. Number of female family planning patients by ethnicity and prior contraceptive method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to ethnicity and prior contraceptive method: United States, 1980


Number ofpregnancies,. live births, fetal deaths, Total Never usedand induced abortions since 7973 Pill IUD Diaphragm

Foam, jelly, Natural Sterilization Other method or cream

regularly

Hispanic patients

Total...................................

Total ...................................










Total.................................

Total................................... 100.0


Never pregnant .......................... 47.0 44.0 19.7 One pregnancy .......................... 25.9 28.8 26.7 Two pregnancies or more ................. 27.1 27.2 53.6

635 322 81 13

100.0 100.0 100.0

19.6 16.7 ‘5.4 ‘20.1 25.3 27.7 21.5 ‘21.0 55.1 55.6 73.0 ‘58.8

25.5 23.9 ‘8.3 *31.4 26.8 28.3 27.6 *20.8 47.7 47.8 64.2 *47.8

73.3 73.9 64.6 ‘62.7 18.6 18.7 22.0 *22.2

5.8 5.7 $9.6 *9.6 2.3 *1.6 ‘3.7 ‘5.5

85.0 83.6 80.1 76.8 11.4 13.0 13.5 ‘13.1

2.9 *2.9 *5.1 *8.3 *.8 *.5 *1.3 * 1.8

4,341 2,461 271 203


No live births ............................ One live birth ............................ Two live hirths or more ...................






58.6 57.0 29.6 62.7 21.4 23.4 27.9 18.0 20.1 19.6 42.5 19.3

77.8 76.6 68.1 65.3 16.7 18.1 21.7 24.1

4.1 4.1 7.2 7.3 1.4 1.2 *3.0 ‘3.3

84.5 83.1 79.8 72.7 12.5 14.0 15.0 20.3

2.4 2.4 *4.0 ‘5.3 .6 *.5 *1.2 *1.6

Number in thousands

23 ‘4 *8


100.0 ‘100.0 100.0 I

‘12.2 ‘9.5 *3.4 *14.2 34.3 *15.9 ‘25.0 *6.1 * 15.8 25.8 ‘71.9 ‘65.6 *90.6 70.1 40.0

*14.9 *11.2 ‘3.4 *20.3 39.5 *19.1 *27.9 *7.8 *17.2 26.7

66.0 *60.9 *88.8 :62.5 33.8

74.2 *76.6 *69.4 67.2 77.6 *15.9 *13.5 ‘23.6 “20.7 16.4

*6.8 * 7.4 *5.5 *7.8 ‘3.6 *3.0 “2.6 ‘1.5 *4.3 ‘2.3

85.5 *88.1 *92.1 83.7 90.2 *lo.3 * 7.6 *5.4 “9.9 7.8

*3.4 *3.3 *2.5 *4.9 +1.1 *.8 *1.0 *1.4 *.8

Number in thousands

167 27 89 1.079


100.0 100.0 100.0 100.0

42.2 40.2 55.1 *CL!5 47.7 64.0 26.3 23.5 *19.0 *9.5 20.4 20.5 31.5 36.3 *25.9 81 .l 31.9 15.5

50.4 66.8 *Il.6 56.6 71.8 20.3 *14.1 ‘IO.8 17.7 16.7 29.3 *19.2 77.6 25.7 11.5

74.9 77.6 69.8 78.9 86.1 17.6 114.3 *19.5 *15.0 10.7 “5.3 ‘5.9 * 6.0 *4.6 2.3 *2.2 *2.3 +4.7 *1.5 *.9

85.1 84.4 88.4 86.9 90.6 11.3 *11.2 *9.0 *10.1 7.7 * 2.5 *3.5 *1.6 *2.7 1.4 *1.1 *.9 *.9 *.3 *.3

26

Table 13. Number of female family planning patients by patient status and source of prior method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to patient status and source of prior method: United States, 1980


Number of pregnancies, live births, fetal deaths, Total Seme Other Private Other method

Never used and induced abortions since 1973 service service Hospital physician regularlysite site

All patients

Number in thousands

Total ............................................................ 4,977 1,954 438 I03 918 314 1,250


-1 Total ............................................................ 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Never pregnant ................................................... Onepregnancy.................................................... Two pregnancies or more ...........................................


No live births ..................................................... One live birth ..................................................... Two live births or more .............................................


No fetal deaths ................................................... One fetal death ................................................... Two fetal deaths .................................................. Three fetal deaths or more ..........................................


No induced abortions .............................................. One induced abortion .................................. ..i ......... Two induced abortions ............................................. Three induced abortions or more ..................................... Unknown ........................................................

Return patients

Total ............................................................

Total.. ..........................................................


Never pregnant ................................................... One pregnancy ..................................................

43.5 41 .o 37.1 *11.7 32.7 44.7 59.9 25.8 26.0 27.9 27.6 31.6 22.3 21.3 30.7 33.0 35.0 60.8 35.8 33.1 18.8

54.3 51.3 55.5 17.9 46.4 54.6 67.4 22.1 22.5 21 .o 30.5 27.0 19.2 18.1 23.6 26.1 23.5 51.6 26.6 26.1 14.6

77.3 77.6 66.3 68.9 72.3 77.1 85.0 16.9 18.9 24.2 21.7 20.5 16.6 II.5

4.3 4.2 7.1 *6.1 5.2 *4.7 2.5 1.5 1.3 *2.4 *3.3 1.9 ‘1.7 *1.1

84.6 84.9 74.5 82.3 80.7 85.0 90.5 12.4 12.3 19.7 *14.0 15.5 11.9 7.7

2.4 2.3 4.7 *2.6 3.0 *2.5 1.4 .6 *.5 l 1.1 *1.1 *.8 *.6 *.4

Number in thousands

3,197 1,954 438 103 335 88 278


100.0 100.0 100.0 100.0 100.0 100.0 100.0

36.7 41 .o 37.1 ‘11.7 22.4 31.7 33.9 27.6 26.0 27.9 27.6 34.1 25.8 30.9. .

1 Two pregnancies or more ........................................... I

Number of live births 1 No live births .....................................................I

One live birth ..................................................... Two live births or more .............................................


Nofetaldeaths ................................................... One fetal death ................................................... Two fetal deaths .................................................. Three fetal deaths or more ..........................................

I Number of induced abortions since 1973

No induced abortions .............................................. One induced abortion .......................................... . ... Two induced abortions ............................................. Three induced abortions or more ..................................... Unknown ........................................................


35.7 33.0 35.0 60.8 43.5 42.5 35.1

48.5 51.3 55.5 17.9 36.0 42.4 46.0 23.8 22.5 21 .o 30.5 30.9 24.1 25.9 27.7 26.1 23.5 51.6 33.2 33.6 28.1

74.6 77.6 66.3 68.9 70.4 72.3 74.6 18.8 16.9 24.2 21.7 22.1 20.3 19.0

4.9 4.2 7.1 ‘6.1 5.6 *5.3 ‘4.4 1.7 1.3 *2.4 *3.3 *2.0 ‘2.2 *1.9

82.7 84.9 74.5 82.3 79.5 82.6 83.9 13.9 12.3 19.7 14.0 16.3 *13.4 12.8

2.8 2.3 4.7 $2.6 *3.3 *3.1 *2.6 .7 *.5 *1.1 *1 .l *.9 *.9 *.7

27

I

Table 13. Number of female family planning patients by patient status and source of prior method, and percent distribution by number of pregnancies, numberof live births, number of fetal deaths, and numberof induced abortions since 1973, according to patient status and source of prior method: United States, 1980-Con.


Number of pregnancies, live births, fetal deaths, Total Same Other

Private Never usedand induced abortions since 1973 service service Hospital physician Other method

site site regularly

New patients

Number in thousands

Total............................................................ 1,779 582 226 971


Total.............................................. . . . . . . . . 100.0 100.0 100.0 100.0 r


Neverpregnant ..................................... ......... 55.7 38.6 49.7 67.4 One pregnancy ...................................... ......... 22.6 30.1 20.9 18.5 Two pregnancies or more ............................. ......... 21.7 31.4 29.4 14.2


No live births ....................................... ......... 64.8 52.4 59.4 73.5 \ Onelivebirth ....................................... ......... 18.9 24.8 17.3 15.8 Two live births or more ............................... ......... 16.3 22.9 23.3 10.7


No fetal deaths ..................................... ......... 82.0 73.5 79.0 87.9 Onefetaldeath ..................................... ......... 13.4 19.7 15.1 9.3 Twofetaldeaths .................................... ......... 3.3 5.0 4.4 2.0 Three fetal deaths or more ............................ ......... 1.2 1.8 ‘1.5 *.8


No induced abortions.. .............................. ......... 88.0 81.4 86.0 92.4 Onainducedabortion ................................ ......... 9.8 15.0 11.3 6.3 Two induced abortions ............................... ......... 1.8 2.8 *2.2 1 .o Three induced abortions or more ....................... ......... .5 ‘.7 *.5 ‘.3 Unknown.. ........................................ ......... -


28

I

Table 14. Numberof female family planning patients by race and source of prior method, and percent distribution bynumberof pregnancies, numberof live births, number of fetal deaths, and number of induced abortions since 1973, according to race and source of prior method: United States, 1980


Number of pregnancies, live births, fetal deaths, and induced abortions since 1973 Total Same Other

Private Never used service service Hospital

physician Other method site site regularly

Whie patients

Number in thousands

I Total............................................................ 3,552 1,314 308 54 707 255 914

i, Percent distribution

Total............................................................ 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Neverpregnant................................................... 46.8 44.6 41.7 ill.4 33.7 47.6 63.9 .................................................... 25.0 25.5 27.1 28.5 31 .s 21.7 18.8Onepregnancy

I Two pregnancies or more ........................................... 28.2 30.0 31.2 60.1 34.5 30.7 17.3

I Number of live births

Nolive births ..................................................... 58.7 56.2 62.5 19.2 48.3 57.9 71.6 One live birth ..................................................... 19.8 20.1 17.4 30.0 26.1 18.0 15.0 Two, live births .................................................... 21.5 23.6 20.1 50.8 25.6 24.2 13.4


Nofetaldeaths ................................................... 77.7 78.0 66.3 68.2 72.4 77.7 85.7 Onefetaldeath ................................................... 16.8 16.7 24.5 *22.3 20.7 16.0 11 .l Twofetaldeaths.......................’........................... 4.1 4.1 6.9 ‘6.4 5.1 *4.7 2.3 Three fetal deaths or more .......................................... 1.4 *1.2 “2.3 *3.0 *1.8 *1.5 *1.0

Number of induced abortions since 1973 ,

Noinducedabortions .............................................. 88.6 84.8 73.8 82.8 80.7 85.6 90.9 One induced abortion .............................................. 12.5 12.4 20.4 *13.5 15.7 11.5 7.5 Twoinducedabortions ............................................. 2.4 2.3 ‘4.7 ‘2.9 2.9 *2.4 *1.2 Three induced abortions or more ...................................... .5 *.4 *1.1 *.7 *.7 *.5 *.4 Unknown.. ............... . ......................................

Black patients

.................................................... 28.5 27.4 30.3 26.9 31.8 26.1 28.9 Twopregnanciesormore ........................................... 37.5 39.7 44.7 61.9 41.2 43.2 23.2


No live births ..................................................... 42.1 46.3 37.5 l 15.6 37.7 39.1 54.7 One live birth ..................................................... 28.8 28.1 30.2 31.5 31.6 27.0 27.6 Two live births or more ............................................. 29.1 .31.6 32.2 52.9 30.7 33.9 17.6


Nofetaldeaths ................................................... 76.0 76.6 66.3 69.6 71.4 73.8 82.9 Onefetaldeath.. ................................................. 17.5 17.3 23.7 l 21.1 20.5 ‘19.0 12.7 Twofetaldeaths .................................................. 4.7 4.5 *7.4 *5.7 5.8 *4.8 ‘3.1 Three fetal deaths or more .......................................... 1.8 *1.7 *2.6 “3.7 *2.3 *2.5 ‘1.3


No induced abortions .............................................. 84.5 85.0 76.3 81.6 80.6 82.5 89.7 Oneinducedabortion......‘........................................ 12.2 12.0 18.0 *14.7 15.1 *13.3 8.2 Two induced abortions ............................................. 2.6 2.3 *4.6 *2.1 l 3.5 ‘2.9 *1.7 Three induced abortions or more ..................................... +.7 *.7 *1.1 l 1.6 *.8 ‘1.3 *.4 Unknown.. ......................................................


One

Number in thousands

Total............................................................ 1,301 599 121 46 182 51 302


Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Never pregnant ................................................... 34.0 32.9 25.0 *11.2 27.0 30.7 48.0 pregnancy

29

Table 15. Number of female family planning patients by ethnicity and source of prior method, and percent distribution by number of pregnancies, number of live births, number of fetal deaths. and number of induced abortions since 1973, according to ethnicity and source of prior method: United States, 1960


Number of pregnancies, live births, fetal deeths, and induced abortions since 1973

Hispanic patients

Total..............................................

Total..............................................


Neverpregnant ..................................... Onepregnancy...................................... ...... Two pregnancies or more ............................. ......


No live births ....................................... ....... Onelive birth ....................................... ....... Two live births or more ............................... .......


No fetal deaths ..................................... Onefetaldeath ..................................... ...... Two fetal deaths ...................... . ............. ...... Three fetal deaths or more ............................ ......


No induced abortions ................................ ....... One induced abortion ................................ ....... Two induced abortions ............................... ....... Three induced abortions or more ....................... ....... Unknown .......................................... .......


Total.............................................. . . . . . . . . . . .

Total..............................................


Neverpregnant ..................................... ........... One pregnancy ...................................... ........... Two pregnancies or more ............................. ...........


No live births ....................................... Onelivebirth ....................................... Two live births or more ...............................


No fetal deaths ..................................... One fetal death ..................................... ......... Two fetal deaths .................................... ......... Three fetal deaths or more ............................ .........


No induced abortions ................................ ....... One induced abortion ................................ ....... Two induced abortions ............................... ....... Three induced abortions or more ....................... ....... Unknown.. ........................................ .......

NOTE: figures may not add to totals due to rounding.

30

Total Same Other Private Never used service service Hospital physicien Other method

site site regulerly

Number in thousands

635 237 59 19 115 36


100.0 100.0 100.0 100.0 100.0 100.0 100.0

19.6 13.3 ‘15.3 ‘2.6 16.4 *16.6 34.3 25.3 24.3 24.0 *22.6 29.3 *Is.9 25.6 55.1 62.5 60.7 74.6 54.3 61.6 40.0 I

25.5 17.5 27.6 *4.4 24.0 *23.9 39.5 26.6 27.2 23.9 ‘26.1 26.6 ‘21.7 26.7 47.7 55.3 48.3 67.5 47.2 54.4 33.6

73.3 73.2 61.3 69.9 74.7 70.4 77.6 16.6 16.2 26.8 *21.6 17.6 ‘16.6 16.4

5.6 6.5 ‘6.9 ‘5.1 ‘5.7 *7.6 ‘3.6 2.3 *2.1 *3.0 ‘3.2 *1.6 *3.3 *2.3

65.0 64.6 74.3 63.9 64.0 63.0 so.2 11.4 11.1 16.6 *12.9 12.7 *12.7 7.6

2.9 ‘3.4 ‘5.6 ‘2.2 *2.7 ‘3.6 *1.1 *.6 l .6 *1.5 ‘1.0 *.6 *.7 *.6

Number in thousands

4,341 1,716 360 63 603 276 1,079


100.0 100.0 100.0 100.0 100.0 100.0 100.0

47.0 44.9 40.4 ‘13.6 35.0 46.1 64.0 25.9 26.2 26.5 26.7 31.9 22.6 20.5 27.1 26.9 31.0 57.6 33.2 29.4 15.5

56.6 56.0 59.6 21 .o 49.6 56.7 71.6 21.4 21.9 20.5 31.1 26.7 16.9 16.7 20.1 22.1 19.7 47.9 23.7 22.5 11.5

77.6 76.2 67.1 66.7 72.0 76.0 66.1 16.7 16.7 23.6 21.7 20.9 16.3 10.7

4.1 3.9 6.6 ‘6.3 5.1 ‘4.3 2.3 1.4 1.2 ‘2.3 ‘3.3 1 .s *1.5 *.9

64.5 64.9 74.5 61 .s 60.2 85.3 SO.6 12.5 12.5 19.6 ‘14.2 15.9 11.6 7.7 i

2.4 2.2 4.6 ‘2.7 3.0 *2.3 1.4 .6 *.5 *1.1 ‘1.2 *.6 *.6 *.3

. .

Table 16. Number of female family planning patients by patient status and contraceptive method adopted or continued, and percent distribution by number of pregnancies, number of live births, numberof fetal deaths, and number of induced abortions since 1973, according to patient status and contraceptive method adopted or continued: United States, 1980

Contraceptive method adopted or continued Number of pregnancies, live births, fetal deaths, and inducedabortions Total

onsince 1973 Pill IUD Diaphragm Foam, jelly,

NaturaI Relying

Steriilzation Other None or cream partner

All patients

Number in thousands , Total .............................. 4,977 3.168 356 357 279 23 245 76 43 431


Tota I.............................. 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


I Never pregnant ..................... One pregnancy .....................

43.5 25.8

48.2 26.7

18.4 25.9

46.9 23.9

31.0 25.6

l 33.5 ‘27.4 .

31.8 25.0

l 16.3 $10.3

37.1 * 20.0

47.6 24.1

I Two pregnancies or more ............ 30.7 25.0 55.8 29.2 43.3 l 39.0 43.2 73.4 42.8 28.3


No live births ...................... 54.3 59.2 26.7 64.3 38.7 ‘41 .o 40.7 l 18.1 47.1 58.7 One live birth ...................... 22.1 22.1 26.9 17.2 25.6 l 27.0 23.3 ‘11.2 *17.7 20.7 Two live births.or more .............. 23.6 18.7 46.4 18.5 35.7 l 32.0 35.9 70.8 ‘36.3 20.6


No fetal deaths ..................... 77.3 79.9 69.0 69.8 74.0 79.1 73.7 74.0 72.5 76.5 One fetal death ..................... 16.9 15.7 21.4 20.9 18.2 ‘14.0 18.8 l 16.6 *19.5 17.1 Two fetal deaths .................... 4.3 3.5 6.5 6.6 ‘5.2 l 5.1 ‘5.3 ‘5.7 ‘5.1 4.6 Three fetal deaths or more ........... 1.5 1 .o *3.1 $2.7 l 2.6 l 1.8 l 2.3 *3.7 ‘2.9 l 1.8


No induced abortions ............... 84.6 85.6 81.2 77.1 85.1 87.5 84.5 89.8 82.9 84.8 One induced abortion ............... 12.4 12.0 14.2 17.2 11.2 ‘9.4 12.0 *7.6 ‘14.4 12.0 Two induced abortions .............. 2.4 2.1 ‘3.5 4.5 l 2.8 *1.8 ‘2.7 l 2;0 ‘2.2 -2.4 Three induced abortions or more ...... .6 *.4 *1.1 ‘1.3 *.9 *1.3 l .9 ‘.6 *.5 *.8 Unknown ..........................

Return patients

Number in thousands

Total. ............................. 3,197 2.094 283 223 158 ‘14 130 55 26 214


Total .............................. 100.0 100.0 100.0 100.0 100.0 ‘100.0 100.0 100.0 106.0 100.0


Never pregnant ..................... 36.7 43.8 17.3 42.2 23.7 ‘28.3 23.6 *8.2 ‘29.9 33.5 One pregnancy ..................... 27.6 28.9 25.0 25.2 24.6 l 28.6 24.7 *9.4 ‘21.8 29.6 Two pregnancies or more ............ 35.7 29.3 57.7 32.7 51.7 l 43.2 51.7 82.5 ‘48.3 36.9


No live births ...................... 48.5 53.8 25.2 61.4 31.4 *37.3 33.3 *9.8 ‘42.2 47.5 One live birth ...................... 23.8 24.1 26.4 18.1 25.3 ‘27.7 23.6 *lo.2 l 18.0 25.9 Two live births of more .............. 27.7 22.1 48.3 20.5 43.3 *35.0 43.1 80.0 l 39.8 26.7


No fetal deaths ..................... 74.6 77.6 68.7 66.! 70.7 *74.2 70.7 70.7 68.1 69.6 One fetal death ..................... 18.8 17.4 21.7 23.2 20.4 *17.3 20.4 *19.1 *23.0 22.3 Two fetal deaths .................... 4.9 4.0 6.6 7.7 *5.9 ‘6.8 ‘6.5 *6.3 ‘5.5 *5.9 Three fetal deaths or more ........... 1.7 1 .l l 3.0 ‘3.1 +3.0 *1.6 *2.4 ‘4.0 .‘3.4 *2.2


31

Table 16. Number of female family planning patients by patient status and contraceptive method adopted or continued, and percent distribution by number of pregnancies, numberof live births, numberoffetal deaths,and numberof inducedabortionssince 1973, accordingto patientstatusand contraceptivemethod adopted or continued: United States, 1980-Con.

Contraceptive method adopted or continued Number of pregnancies, live births, fetal deaths, and induced abortions Total

since 1973 Pill IUD Diaphragm Foam, jelly, Natural

Relying Sterilization Other Noneon or cream

partner

Return patients-Con.

Number of induced abortions since 1973 ,

No induced abortions . . . . . . . . . . . . . . . 82.7 83.9 80.9 74.0 83.8 ‘84.8 82.6 ‘88.7 79.5 79.6 ’ One induced abortion . . . . . . . . . . . . . 13.9 13.3 14.5 19.4 12.1 *11.8 12.6 *8.3 “17.2 15.9 Two induced abortions . . . . . . . . . . . . 2.8 2.3 *3.5 * 5.3 ‘2.9 ‘2.5 *3.8 *2.4 *2.4 *3.5 Three induced abortions or more.. . . . .7 *.4 *1 .l * 1.3 ‘1.1 *.9 *1 .o *.7 *.8 *1.1 Unknown..........................

New patients

Number in thousands

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,779 1,074 73 133 121 9 115 21 17 217


Total. ............................. 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Never pregnant ..................... 55.7 60.8 22.4 54.8 40.7 ‘41.6 41 .o *37.6 *48.5 61.5 One pregnancy ..................... 22.6 22.5 29.3 21.8 26.9 *25.7 25.4 “12.6 *17.3 18.6 Two pregnancies or more ............ 21.7 16.8 48.3 23.4 32.4 *32.7 33.6 49.8 *34.2 19.9


No live births ...................... 64.8 69.8 32.3 69.2 48.2 ‘46.7 49.2 *39.6 54.6 69.8 One live birth ...................... 18.9 18.2 28.9 15.8 25.9 ‘25.8 23.0 *13.7 “17.2 15.5 Two live births or more .............. 16.3 12.0 38.9 15.0 25.9 *27.5 27.8 46.7 ‘28.2 14.7


No fetal deaths ..................... 82.0 84.3 70.1 76.0 78.2 ‘86.5 77.1 82.5 79.5 83.3 One fetal death ..................... 134 12.3 20.5 17.1 15.4 *8.9 17.0 * 10.3 * 13.8 12.0 Two fetal deaths .................... 3.3 2.6 *6.1 ‘4.9 ‘4.3 *2.5 *3.9 *4.2 *4.5 +3.4 Three fetal deaths or more ........... 1.2 ‘.7 ‘3.4 ‘2.0 *2.0 *2.1 *2.1 *3.0 *2.1 “1.4


No induced abortions ............... 88.0 88.9 82.2 82.2 86.7 91.7 86.7 92.7 88.2 89.9 One induced abortion ............... 9.8 9.3 12.9 13.4 10.1 ‘5.7 11.3 “5.9 *9.9 8.3 Two induced abortions .............. 1.8 1.5 * 3.7 * 3.0 ‘2.6 *.6 ‘1.4 ‘1.1 ‘1.9 *1.3 Three induced abortions or more ...... .5 *.3 ‘1.1 * 1.4 *.7 ‘2.0 ‘.7 *.3 *.0 *.5 Unknown ..........................


32

Table 17. Numberoffemalefamilypfanning patients by race and contraceptive method adopted orcontinued, and percentdistribution bynumberof pregnancies, number of live births, numberof fetal deaths, and number of induced abortionssince 1973, according to race and contraceptive method adopted orcontinued: United States, 1980

Contraceptive method adopted or continued Number of pregnancies, live births, fetal deaths, and induced abortions Total

since 1973 Pill IUD Diaphragm Foam, jelly,

Natural Relying

SteriYization Other Noneon or cream partner

White patients

Number in thousands

Total.............................. 3,552 2,257 234 286 172 *15 185 50 29 324


Total.............................. 100.0 100.0 100.0 100.0 100.0 '100.0 100.0 100.0 100.0 100.0


Neverpregnant ..................... 46.8 51.5 19.2 51.9 34.7 *36.0 32.7 *20.1 *34.8 50.2 One pregnancy ..................... 25.0 25.6 27.4 23.1 25.0 *24.5 24.9 *12.1 '20.8 23.1 Two pregnancies or more ............ 28.2 23.0 53.4 25.0 40.3 *39.5 42.4 67.9 *44.4 26.8


No live births ...................... 58.7 63.6 28.9 69.7 43.2 *43.3 41.7 *22.2 *46.3 62.0 One live birth ...................... 19.8 19.5 26.9 14.6 23.4 *23.2 22.4 *12.5 *16.7 19.0 Two live births or more .............. 21.5 16.9 44.2 15.7 33.5 *33.6 35.8 65.3 *37.0 19.0


No fetal deaths ..................... 77.7 79.9 68.6 72.6 75.5 *SO.9 74.6 76.9 71.5 76.7 One fetal death ..................... 16.8 15.7 22.0 19.4 18.2 *13.3 18.1 *13.5 *21.7 16.9 Two fetal deaths .................... 4.1 3.5 '6.5 5.9 *4.3 *4.1 *5.0 *6.0 *4.0 *4.7 Three fetal deaths or more ........... 1.4 .9 *2.9 *2.1 *2.0 *1.8 *2.3 *3.6 *2.8 *1.7


No induced abortions ............... 84.6 85.4 80.8 78.5 86.4 *88.2 85.5 91.2 81.8 84.9 One induced abortion ............... 12.5 12.2 14.5 16.2 11 .o *8.6 11.2 '6.2 *i5.6 11.9 Two induced abortions .............. 2.4 2.1 '3.7 *4.2 *2.0 *2.1 '2.5 '2.0 *i.1 *2.4 Three induced abortions or more ...... .5 *.3 *1.1 *1.1 *.6 *1.2 *.8 *.5 *.5 *.8 Unknown ..........................

Black patients

Number in thousands

Tota;.............................. 1,301 845 104 64 101 *7 52 '24 '8 96


Total.............................. 100.0 100.0 100.0 100.0 100.0 ‘lOd.0 100.0 100.0 9 00.0 100.0


Never pregnant ..................... 34.0 39.1 12.3 24.6 25.0 *24.9 27.6 *6.6 *34.2 39.4 One pregnancy ..................... 28.5 30.1 24.6 38.2 27.0 '36.8 25.9 *6.8 ‘19.1 27.5 Two pregnancies or more ............ 37.5 30.8 63.1 47.1 48.0 *38.2 46.6 86.5 '46.7 33.1


No live births ...................... 42.1 47.2 17.8 40.8 31.1 $33.6 36.3 '7.5 *40.6 48.5 One live birth ...................... 28.8 29.5 29.3 28.9 29.9 *37.2 27.2 *8.9 *21.2 26.0 Two live births or more .............. 29.1 23.3 52.9 30.3 39.0 *29.1 36.5 83.5 *38.2 25.5


No fetal deaths ..................... 76.0 79.6 68.5 57.8 71.2 '73.7 70.1 67.4 '68.3 75.7 One fetal death ..................... 17.5 75.6 21.6 27.2 18.2 *16.0 21.1 *23.8 '17.8 18.6 Two fetal deaths .................... 4.7 3.7 '6.5 '9.8 *7.0 *8.0 *6.5 84.9 *9.3 '3.8 Three fetal deaths or more ........... 1.8 *1.1 '3.3 *5.2 *3.5 *2.3 =2.3 *3.9 *4.6 *1.9


No induced abortions ............... 84.5 86.2 81.2 71.3 82.8 *84.8 80.7 86.9 *83.8 84.6 One induced abortion ............... 12.2 11.2 14.6 20.8 11.5 *12.1 *14.9 '10.4 *12.4 12.8 Two induced abortions .............. 2.6 2.1 *3.4 '5.9 *4.2 *1.2 '3.2 *2.0, l 3.0 '1.9 Three induced abortions or more ...... *.7 *.5 *.9 '2.0 *1.5 *1.9 *1.1 *.8 *.8 *.7 Unknown ..........................

NOTE: Figures may not add to total due to rounding.

33

Table 18. Number of female family planning patients by ethnicity and contraceptive method adopted or continued, and percent distribution by number of pregnancies, number of live births, number of fetal deaths, and number of induced abortions since 1973, according to ethnicity and contraceptive method adopted or continued: United States, 1980

Number of pregnancies, live births, fetal deaths, and induced abortions

since 1973

Hispanic patients

Total. .............................

Total. .............................


Never pregnant ..................... Onepregnancy ..................... Two pregnancies or more ............


No live births ...................... One live birth ...................... Two live births or more ..............


No fetal deaths ..................... One fetal death. .................... Two fetal deaths .................... Three fetal deaths or more ...........


No induced abortions ............... One induced abortion ............... Twc induced abortions .............. Three induced abortions or more ...... Unknown ..........................


Total. .............................

Total. .............................


Never pregnant ..................... One pregnancy ..................... Two pregnancies or more ............


No live births ...................... One live birth ...................... Two live births or more ..............


No fetal deaths ..................... One fetal death ..................... Two fetal deaths .................... Three fetal deaths or more ...........


No induced abortions ............... One induced abortion ............... Two induced abortions .............. Three induced abortions or more ...... Unknown ..........................

Contraceptive method adopted or conti.wed

Total onPill IUD Diaphragm

Foam. jelly. Natural

Relying Steriliza don Other None

or cream partner

Number in thousands

635 345 a7 22 39 ‘3 67 *a '9 55


100.0 100.0 100.0 100.0 100.0

19.6 22.9 *5.4 ‘24.3 *15.2 25.3 28.5 20.5 ‘26.0 ‘21.2 55.1 48.7 74.1 49.7 63.6

25.5 29.5 ‘8.0 ‘38.5 ‘18.6 26.8 28.7 27.7 *24.4 24.1 47.7 41.7 64.3 ‘37.1 57.2

73.3 76.9 64.3 64.2 73.8 18.6 16.7 23.1 ‘22.8 ‘18.8

5.8 5.0 * a.4 ‘9.6 ‘4.1 2.3 *1.4 ‘4.2 l 3.4 *3.3

85.0 85.7 80.6 75.8 86.2 1 1.4 1 1.4 13.4 * 16.4 *lo.1

2.9 *2.5 ‘4.6 * 7.2 ‘2.5 *.8 l .5 *1.4 * 1.6 ‘1.1

* 100.0 100.0 * 100.0 ~100.0 100.0

“21.6 14.6 ‘5.9 *11.9 32.3 *11.4 23.7 ‘3.5 *15.3 22.7 *67.0 61.7 ‘90.6 ‘72.7 45.1

‘22.1 18.6 ‘5.9 * 1 a.5 40.1 ‘11.6 26.5 *3.5 * 1 a.3 21.6 ‘66.4 54.9 * SO.6 ‘63.1 38.3

‘87.1 69.7 “69.2 *65.0 74.1 *a.7 20.5 *21.3 *24.1 1 a.4 *3.9 $6.5 *7.4 *6.5 *5.5

‘.3 ‘3.4 * 2.2 *4.4 *2.1

‘91.6 87.4 ‘88.2 *79.8 87.6 ‘6.3 *9.3 ‘8.7 *16.5 *9.5 *2.1 *2.1 ‘3.1 *2.9 +2.3

*1.2 *.7 +.6

Number in thousands

4,341 2,822 269 334 239 21 178 68 34 376


100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

47.0 51.3 22.6 48.4 33.7 ‘35.1 38.3 *17.6 43.6 49.8 25.9 26.5 27.6 23.8 26.3 ‘29.5 25.5 ‘11.1 *21.2 24.3 27.1 22.2 49.8 27.8 40.0 *35.4 36.2 71.3 *35.2 25.9

58.6 62.9 32.7 66.0 42.0 *43.5 49.1 * 19.5 54.4 61.4 21.4 21.3 26.7 16.8 25.8 ‘29.0 22.1 *12.1 *17.5 20.5 20.1 15.8 40.6 17.2 32.2 *27.6 28.8 68.4 e2a.1 18.1

77.8 80.2 70.5 70.1 74.0 78.0 75.2 74.6 74.5 76.8 16.7 15.5 20.9 20.8 18.2 ‘14.7 18.2 *lE.l * 18.3 16.9

4.1 3.3 5.9 6.4 l 5.4 ‘5.3 ‘4.8 * 5.5 *4.8 4.5 1.4 .9 *2.7 ‘2.6 ‘2.4 ‘2.0 ‘1.8 ‘3.9 *2.5 *1.8

84.5 85.6 81.3 77.2 84.9 87.0 83.4 90.0 83.7 84.4 12.5 12.0 14.5 17.3 1 1.4 ‘9.8 13.0 *7.5 * 13.8 12.4

2.4 2.0 l 3.2 *4.3 ‘2.8 ’ 1.7 *2.9 ‘1.9 *2.0 *2:4 .6 ‘.4 * 1 .o * 1.3 *.9 ‘1.5 ‘.8 ‘.7 *.4 *.8


34

I

Table 19. Number of female family planning patients by patient status and prior contraceptive method, and percent distribution by contraceptive method adopted or continued, according to patient status and prior contraceptive method: United States, 1980


Contraceptive method adopted Total Never used or continued Pill IUD Dialjhragm

Foam, jelly, Natural Sterilization Other method or cream regularly

All patients

Total..................................

Total...................................

Pill ..................................... IUD .................................... Diaphragm .............................. Foam, jelly, or cream ...................... Other ................................... None ................................... Natural ................................. Relying on partner ........................ Sterilization .............................

Return patients

Total...................................

Total...................................

Pill ..................................... IUD .................................... Diaphragm........: ..................... Foam, jelly, or cream ...................... Other ................................... None ................................... Natural ................................. Relying on partner ........................ Sterilization .............................

New patients

Total...................................

Total................................:..

Pill ................................ IUD ............................... Diaphragm ......................... Foam, jelly, or cream ................. Other. .............................. None .............................. Natural ............................ Relying on partner ................... Sterilization ........................

Number in thousands

4.977 2,782 352 216 190 32 52


100.0 100.0 100.0 100.0 100.0 100.0 100.0 1

63.7 80.2 14.1 17.9 36.3 *37.5 *12.9 7.1 2.7 63.2 *3.2 l 4.5 *5.0 ‘2.2 7.2 3.6 ‘4.4 62.0 9.1 *11.5 *1.3 5.6 3.5 5.3 *2.8 32.3 *6.0 * 1.2

.9 .7 *.8 *.6 * 1 .o ‘1.5 ‘1.8 8.7 6.2 7.4 10.6 10.5 * 15.3 ‘6.6

.5 l .2 *.3 *.3 *.5 * 16.7 *.0 4.9 2.5 l 3.6 ‘2.3 ‘3.7 *4.9 *1.5 1.5 *.5 *.9 *.3 *2.0 -1.6 72.5

Number in thousands

3,197 2,222 299 173 113 *15 45


100.0 100.0 100.0 100.0 100.0 *100.0 100.0

65.5 82.7 12.2 15.4 28.9 *27.5 ‘11.2 8.8 2.3 67.2 *2.7 ‘4.8 *8.6 *2.1 7.0 3.0 ‘3.5 66.7 ‘7.9 *11.4 ‘1.1 4.9 3.2 $4.8 ‘2.7 41 .l *6.1 *.9

.8 “.6 *.8 *.7 *1.1 ‘1.2 *1.7 6.7 5.4 6.9 9.6 *10.7 *15.5 ‘6.1 *.4 *.2 ‘.3 *.3 *.6 ‘23.9 +.0 4.1 2.2 *3.3 * 1.8 *3.3 *4.4 ‘1.4 1.7 *.4 *.9 *.2 *1.7 .*1.4 75.5

Number in thousands

1.779 561 52 43 77 17 *7


100.0 100.0 100.0 100.0 100.0 100.0 ‘100.0

. * . . 60.3 70.3 24.8 28.1 47.1 *46.4 ‘23.8

. . . . 4.1 4.1 39.6 ‘5.4 ‘4.0 *1.8 *3.0

. . . . 7.5 6.0 *9.0 43.3 *10.9 *11.6 ‘2.4

. . . . 6.8 4.7 *8.2 *3.0 19.5 ‘6.0 ‘2.6

. . . . .9 *1.0 *1.1 *.3 *.8 ‘1.8 ‘1.8

. . . . 12.2 9.3 *lo.2 *14.6 *lo.4 *15.0 ‘9.3

. . . . .5 *.3 *.4 ‘.4 *.5 *10.3 *.1 ,... 6.4 3.7 *FL5 ‘4.1 ‘4.3 * 5.4 ‘2.6 . . . . 1.2 *.7 *1.1 *.7 ‘2.4 *1.7 * 54.3

103 1,250

100.0 100.0

40.6 57.5 ‘3.5 3.0 ‘8.9 6.0 ‘9.2 6.7 ‘6.3 *.9

‘11.6 13.6 *.6 *.7

15.8 10.6 ‘3.4 * 1 .o

52 278

100.0 100.0

30.9 48.8 ‘4.6 *5.5 ‘6.3 ‘5.5

*10.1 +5.3 ‘8.4 ‘1.3

*11.7 12.3 ’ *.8 “1.4

‘22.5 18.7 *4.7 *,1.3

51 971

100.0 100.0

50.5 60.0 *2.4 2.3

*11.6 6.2 ‘8.2 7.1 *4.2 ‘.7

*11.5 14.0 *.4 *.5

‘9.0 8.3 “2.1 .9


35

Table 20. Number of female family planning patients by race and prior contraceptive method, and percent distribution by contraceptive method adopted or continued, according to race and prior contraceptive method: United States, 1980


Contraceptive method adopted Never usedor continued Total

Pill IUD Diaphragm Foam, jelly.


White patients

Number in thousands

Total................................ 3,552 1,955 232 173 140 27 32 81 914


Total ................................ 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Pill ................ 63.5 80.3 14.4 ? 3.5 37.2 ‘37.8 *14.7 42.0 57.0 IUD ............... .......... 6.6 2.5 62.4 ‘2.9 *4.3 *4.0 *2.4 ‘2.9 2.8 Diaphragm ......... .......... 8.1 4.1 *4.7 62.0 ‘10.1 ‘11.4 *1.3 “9.0 6.9 Foam, jelly, or cream. .......... 4.8 3.0 ‘4.6 ‘2.2 29.4 * 5.8 *1.3 * 7.5 5.5 Other. ............. .......... .8 *.5 ‘.9 ‘.4 *.7 *1.5 *2.0 ‘6.5 *.9 None .............. .......... 9.1 6.5 8.1 11.1 11.5 ‘16.5 *7.2 *11.9 14.0 Natural ............ .......... *.4 *.2 *.3 *.4 *.6 ‘17.4 *.0 *.6 *.5 Relying on partner. .. .......... 5.2 2.4 *3.7 *2.2 ‘4.2 *4.0 *2.3 * 16.2 11.3 Sterilization ........ .......... 1.4 *.5 “.9 *.2 ‘2.0 *I.6 68.8 *3.4 *1 .l

Black patients

Number in thousands

Total................................ 1,301 766 108 38 45 *4 18 19 302


Total................................ 100.0 100.0 100.0 100.0 100.0 ‘I 00.0 100.0 100.0 100.0

Pill ................ 65.0 81 .O 12.4 *14.0 33.6 ‘35.1 *9.0 *37.0 59.7 IUD ............... ....... 8.0 2.4 65.8 ‘3.1 *4.1 ‘12.9 ‘.5 ‘4.1 *3.4 Diaphragm ......... ....... 4.9 2.4 ‘3.7 64.8 * 6.5 *11.7 ‘1.1 * 10.0 3.7 Foam, jelly, or cream. ....... 7.7 4.9 ‘7.0 * 5.5 42.1 *7.0 ‘1.0 * 15.2 10.2 Other. ............. ....... *.6 *.5 *.5 *1 .o *1.3 *1.7 *.8 *5.2 ‘.5 None .............. ....... 7.4 5.6 ‘5.8 *9.1 * 8.2 *8.1 ‘5.8 ‘9.0 12.1 Natural ............ *.5 *.3 ’ .4 *.5 *14.1 *.2 *1.2 Relying on partner. .. ....... 4.0 2.4 * 3.4 ‘2.1 ‘2.1 +7.9 ‘.2 ‘15.2 8.4 Sterilization ........ ....... 1.8 ‘.5 ‘1.0 *.4 *1.5 *1.5 81.5 *4.2 *.7

NOTE: Figures may not add to totals due to rounding

36

Table 21. Number of female family planning patients by ethnicity and prior contraceptive method, and percent distribution by contraceptive method adopted, or continued, according to ethnicity and prior contraceptive method: United States, 1980


Contraceptive method adopted Total Never used or continued Pill IUD Diaphragm Foam, jelly,


I Hispanic patients

Total................................... 635 322 81 13

Total ................................... 100.0 100.0 100.0 100.0

Pill ..................................... 54.3 76.8 12.0 *18.2 IUD .................................... 13.7 4.5 71.1 ‘5.0 Diaphragm .............................. 3.5 *1.9 *1.8 *60.1 Foam, jelly, or cream ...................... 6.2 4.2 *3.6 *3.3

I Other ................................... ‘1.4 *1.0 *.9 *.7 None ................................... 8.7 6.4 ‘5.8 *8.6 Natural ................................. *.4 *.1 *.3 Relying on partner ........................ 10.6 4.7 ‘4.2 ‘3.3 Sterilization ............................. ‘1.3 *.4 *.3 *.8


Total................................... 4,341 2,461 271 203

Total ................................... 100.0 100.0 100.0 100.0

Pill ..................................... 65.0 80.6 14.7 17.9 IUD .................................... 6.2 2.4 60.8 f3.1 Diaphragm .............................. 7.7 3.9 *5.1 62.2 Foam, jelly, or cream ...................... 5.5 3.4 5.8 *2.7 Other ................................... .8 .6 *.8 *.6 None.........................: ......... 8.7 6.1 7.8 10.7 Natural ................................. .5 *.2 * .4 *.3 Relying on partner. ....................... 4.1 2.2 *3.4 ‘2.2 Sterilization ............................. 1.6 *.5 *1.1 *.2


Number in thousands

23 *4


100.0 *I 00.0 ,.

*23.0 *20.8 *6.2 *6.3 l 4.3 *4.2 44.1 ‘11.4 *1.5

‘10.5 *11.1 *38.7

‘10.0 *7.5 *.4

Number in thousands

167 27


7 00.0 100.0

38.1 ‘40.1 *4.3 *4.8

9.8 *12.6 30.7 *5.2

*.9 *I.7 10.6 *15.9

*.6 l 13.3 *2.8 “4.5 *2.2 ‘1.8

*8 14 170

‘100.0 100.0 100.0

*8.9 *29.1 44.1 *2.8 *7.5 6.7 *1.0 *4.5 $2.8 *2.4 *6.4 6.3 *2.8 ‘12.0 *1.5

*14.0 *11.7 13.4 ‘* .3

*2.0 *27.3. 24.4 *66.2 ‘1.6 *.5

44 89 1,079

100.0 100.0 100.0

*13.7 42.5 59.6 *2.1 *2.9 2.4 *1.3 *9.6 6.5

*.9 ‘9.6 6.8 *1.6 *5.4 *.8 *5.2 ‘11.6 13.6

*.0 *.7 *.8 *1.5 *14.0 8.4 73.7 *3.7 *1.1

37

Appendixes

Contents

I. Technical notes ................... Survey methodology .............. Data collection and processing. .... Reliability of estimates ...........

II. Definitions of terms used in this report

III. Survey instrument.. . . . . . . . . . . . . . .

List of appendix tables

....... . . ....... . . ....... . . .......

. . . . . . . . ,

......................... ......... ...... . . . .

......................... ..... i ... ...... . . . .

......................... ......... ...... . . . .

......................... ......... ...... . . . .

. . . . . . . . . . . . . . . . . . . . . . .a. . . . . . . . . . . . . . . . . . . .

I. Number of female family planning patients by age, race, ethnicity, and patient status: United States, 1980. . . . . . . II. Relative standard error (in percent) of female patient estimates by age, race, ethnicity, and patient status: United

States,1980......................................................................,............... III. Number of sample (i.e., unweighted) records for female patients by age, race, ethnicity, and patient status: United

States,1980...................................................................................... IV. Number of female family planning patients by education, race, ethnicity, and patient status: United States, 1980 . . . . . . V. Relative standard error (in percent) of female patient estimates by education, race, ethnicity, and patrent status:

United States, 1980......................................,.......,................................. VI. Number of sample (i.e., unweighted) records for female patients by education, race, ethnicity, and patient status:

United States,1980................................................................................ VII. Number offemalefamily planning patients by income status, race, ethnicity, and patient status: United States, 1980 . . . VIII. Relative standard error (in percent) of female patient estimates by income status, race, ethnicity, and patient status:

United States,1980................................................................................ IX. Number of sample (i.e., unweighted) records for female patients by income status, race, ethnicity, and patient

status: United States, 1980 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . X. Range of recommended design effects for proportion estimates.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

39 39 39 40

44

46

40

40

41 41

41

41 42

42

42 ;

43

38

I

Appendix I. Technical notes

Survey methodology

The National Reporting System for Family Planning Services covers all family planning visits to nonmilitary service sites in the United States, Guam, Puerto Rico, and the Virgin Islands that offer medical family planning services. The survey specifically excludes family planning visits to office-based private physicians’ practices; these visits are included in the National Ambulatory Medical Care Survey, which is also conducted by the Division of Health Care Statistics of the National Center for Health Statistics (NCHS). A family planning patient is an individual making one or more family planning visits to a family planningservice site.

Sampling design.- The data presented in this report are based on a two-stage stratified sample survey. The first-stage sampling frame was completedduring the summer of 1976 and updated for 1980. The frame consisted of a list of family planning service sites enrolled in the full-count survey (the mode in which the survey operated before the adoption of the sampling approach on July 1,1977), augmented by lists offamily planning service sites compiled by the Bureau of Community Health Services ofthe U.S. Department of Health and Human Servicesand by the Alan Guttmacher Institute, which, at that time, was the research and development division of the Planned Parenthood Federation of America, Inc. Family planning service sites that were identified on more than one list were deleted from the frame before sample selection.

Before selection of the sample service sites, the sampling frame was arranged into six State groups, which were formed by combining States with similar numbers of family planning service sites. Within each State group; each family planning service site was classified into one of the following three classesaccording to reported information for the facility’s annual number of family planning visits: sites with less than 1,000 visits, sites with l,OOO-3,999 visits, and sites with 4,000 visits or more. Within each of the sampling

strata defined by the six State groups and the three visit-size classes, the service sites were ordered by State, type of sponsorship (i.e., public health department,affiliate of the Planned Parenthood Federation of America, Inc., hospital, and other), and county. The sample service sites were systematically selected from these strata after a random start, with the probability of selection ranging from certainty to 1 in 18. The 1980 U.S. sample comprised 1,381 sites, with 81.2 percent of the sites participating in the survey.

In the second stage, family planmng visits at each sample sitewere systematically selected.NCHS assigned each sample site a sampling rate dependent on the site’s reported visit volume and the State in which the site was located. Overall, 14 visit sampling rates were used to determine the proportion of each site’s family planning visits needed for the survey; the visit sampling rates ranged from certainty to 1 in 30.

Although the survey is based on a sample of family planning visits, estimates for family planning patients can be derived from survey data. Each patient (i.e., an individual making one or more family planning visits) can be uniquely associated with the first visit she made during the calendar year.

The date of the prior family planning visit, if any, for each individual making a sample family planning visit is recorded in item 8 of the Clinic Visit Record (see appendix III). With this information, sample family planning visits that correspond to an individual’s first family planning visit during the calendar year can be identified. Of 397,692 sample family planning visits in the United States in 1980, some 220,303 reflect data for the individual’s first family planning visit during that year. The patient estimates presented in this report are based on those 220,303 sample family planning visits (or, equivalently, family planning patients in the sample).

Data collection and processing Visit data were either abstracted from the patient’s

medical file or obtained by interviewing the patient or

39

by observation. The primary data collection form is the Clinic Visit Record, which consists of the survey’s minimum basic data set (see appendix III).

Each sample service site had the option of collecting data for the survey by participating in a computerized record system, providing NCHS criteria for data collection were met. NCHS required that (1) the record system’s data be based on a source document that included the survey minimum basic data set, and (2) the procedures and definitions used to collect such data be consistent with those specified for the survey.About 3 out of 4 sample service sites participating in the 1980 survey collected data by participating in a computerized record system. The remaining sites collected survey data on Clinic Visit Records, which were submitted to NCHS for processing.

The procedure for sampling visits was done in one of two ways. Sample service sites that collected visit data for the survey by participating in a computerized record system usually opted to have the sample visits selected by computer. The remaining sites selected sample visits through their staffs’maintenance of visit logs used to list every patient making a family planning visit. Individuals who answered “yes” to the screening question (“Are you here to see a health provider [physician, nurse, allied health personnel] about obtaining health services related to contraception, infertility treatment, or sterilization?“) were listed consecutively on the visit log. Individuals whose names appeared on the last line of each page in the visit log were selected, and data for those visits were collected. Different versions of the family planning visit logs corresponded to each of the 14 sampling rates employed to select sample visits; the number of lines used to list patients on the family planning visit log was equal to the reciprocal of the sampling fraction used by the site.

Data processing. -Data processingdiffered according to the mode of data submission. Visit data received on Clinic Visit Records had to be keyed to machine-readable form before computer processing. Keying for all data items was independently verified for 100 percent of the Clinic Visit Records. Visit data received on a computer tape or on punched cards from a computerized record system did not require preprocessing.

All visit data, regardless of the form of data submission, were edited by NCHS for completeness and consistency. Visit records with errors, inconsistencies, or item nonresponse were corrected, if possible, through followup with the service site or the computerized record system. Imputation was used for specific data items when the overall level of nonresponse for an item was small.

Reliability of estimates Estimation. -The survey statistics are derived by

a complex estimation procedure used to produce essen-

Table I. Number of female family planning patients by age, race, ethnicity, and patient status: United States, 1980

Age

30Race, ethnicily, and patient status Total Under 20-29 years20 years and years

over I

Number of patients in thousands

All patients. . . . . . . . . . . . 4,977 1,703 2,691 583

Race’

White . . . . . 3,552 1,233 1,934 386 Black................. 1,301 438 689 174

Ethnicity

Hispanic . . . . . 635 127 -370 139 Not of Hispanic origin. . . 4,341 1,576 2.321 444

Patient status

Return. . . . . . . . . . . . . . . 3,197 819 1,943 436 New. . . . . . . . . . . . . 1,779 884 749 147

‘All patients include races other than white and black.

tially unbiased data. The procedure’s two principal components are inflation by the reciprocal of the probability of sample selection and adjustment for nonresponse.

Sampling error. -The statistics presented in this report are based on a sample survey and, therefore, differ from those that would be based on a full-count ( loo-percent) survey that used the samedata collection definitions and procedures. The probability samplingdesign allows calculation of estimated standard errors from the sample data.

Table II. Relative standard error (in percent) of female patient estimates by age, race, ethnicity, and patient status: United States, 1980

L

30Race, ethnicity, and patient status Total Under 20-29 years

20 years and

years , over

Relative standard error in percent

All patients. ............ . . . . . . 3.8 4.0 3.9 4.8

Race’

White ................ . . . . . 4.0 4.5 4.1 4.3 Black ................. . . . . . 5.4 4.9 5.6 7.8

Ethnicity

Hispanic . . . . . . . . . . . . . . . . . . 6.0 8.9 5.9 7.6 Not of Hispanic origin. . . . . . . . 3.9 4.0 4.0 5.1

Patient status

Return. . . . . . . . . . . . . . . ...... 4.0 4.6 4.1 5.0 New. . . . . . . . . . . . . . . . . ...... 4.1 4.5 4.9 7.4


40

Table III. Number of sample (i.e., unweighted) records for female patients by age, race, ethnicity, and patient status: United States, 1980

Age

Race. ethnicity, and patient Total Under

30 status

20 20-29 years years and

years over

Number of sample records

All patients. . . . , . . . . . . . . . 220.303 78,658 117,912 23,733

Race’

White.. . . . . . . . . . . . . . . . . . 161,554 58,625 86,846 16,083 Slack . . , . . . . . , . . . . . . . . . . 49,737 17,519 25,950 6,268

Ethnicity

Hispanic . . . . . . . . . . :. . . . . 18,192 3,919 10,659 3,614 Not of Hispanic origin . . . . . 202,111 74,739 107,253 20,119

Patient status

Return . .‘, . . . . . . . . . . . . . . . 142,289 38,752 85,684 17,853 New . . . . . . . . . . . . . . . . . . . . 78,014 39,906 32,228 5,880

‘All patients include races other than white and black.,

The standard error is primarily a measure of the variability that occurs by chance because a samplerather than the entire sampling frame is surveyed. W ile the standard errors calculated for this report reflect some of the random variation inherent in the measurement process, they do not measure any systematic error, or bias, that is present in the data. One is referred to the section titled “Nonsampling error” for additional information on measurement error.

The chances are about 0.68 that the interval specified by the estimate plus or minus one standard

Table IV. Number of female family planning patients by education, race, ethnicity. and patient status: United States, 1980

. Education

Less 13Race, ethnicity, and patient status Total than 12 yeak ‘2 years or

years more

Number of patients in thousands

All patients.. . . . . . . . . . . . . . . . . . . . 4.977 2,005 I,91 5 1,057

Race’

White . . . . . . . . . . . . . . . . . . . . . . . . . 3,552 1,429 1,321 803 Black.......................... 1,301 530 549 222

Ethnicity

Hispanic. . . . . . . . . . . . . . . . . . . . . . . 635 393 181 61 Not of Hispanic origin. . . . :. . . . . . . 4,341 1,612 1,734 996

Patient status

Return......................... 3,197 1,191 1,296 710 New . . . . . . . . . . . . . . . . . . . . . . . . . . 1,779 814 619 347

1 All patients include races other than white and black.

Table V. Relative standard error (in percent) of female patient estimates by education, race, ethnicity, and patient status: United States, 1980

Education

Race, ethnic& and patient status Total Less than

13 12 years

12 years or years more

Relative standard error in percent

All patients.. . . . . . . . . . . . . . . . . . . . . . . 3.8 4.3 4.3 5.0

Race’

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.0 4.7 4.8 5.3 Slack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4 6.3 6.2 7.9

Ethnicity

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . 6.0 6.7 8.5 13.0 Not of Hispanic origin.. . . . . . . . . . . . . . 3.9 4.6 4.5 5.0

Patient status I

Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.0 4.8 4.7 5.7 New . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1 4.8 5.0 6.2


error contains the figure that would be obtained through a full-count survey of the sampling frame. The chances are about 0.95 that the interval specified by the estimate plus or minus two standard errors contains the figure that would be obtained through a full-count survey of the sampling frame.

In order to derive standard errors at moderate cost that would be applicable to a wide variety of statistics, several approximations were required. It is necessary to utilize.the estimates of domain sizes, relative standard errors, and sample sizes shown in tables I-IX.

Table VI. Number of sample (i.e., unweighted) records for female patients by education, race, ethnicity, and patient status: United States, 1980

Education

Race, ethnicity and patient Less 13 status

Total than 12 years 12 years or

years more

Number of sample records

All patients . . . . . . . . . . . . . . . 220,303 86,756 87,147 46,400

Race’

White. . . . . . . . . . . . . . . . . . . . 161,554 62,297 62,978 36,279 Black . . .‘. . . . . . . . . . . . . . . . . 49,737 21,199 20,732 7,806

Ethnic&y

Hispanic.. . . . . . . . . . . . . . . . . 18,192 10,944 5.430 1,818 Not of Hispanic origin . . . . . . 202,111 75,812 81,717 44,582

Patient status

Return . . . . . . . . . . . . . . . . . . . 142,289 50,941 59,825 31.523 New..................... 78.014 35,815 27,322 14,877

‘1 All patients include races other than white and black.

41

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Table VII. Number of female family planning patients by income status, Table IX., Number of sample (Le., unweighted) records for female patients race, ethnicity, and patient status: United States, 1980 by income status, race, ethnicity, and patient status: United States, 1980

income status Income status

Does not Receives Does not

Race, ethnic& and patient status Total public Receives receive Race, ethnic& and patient status Total

public receive

publicassistance assistance twsistance

public

income income income assistance income

Number of patients in thousands Number of sample records

All patients . . . . . . . . . . . . . . . . . . . ,. 4,977 695 4,282 All patients.. . . . . . . . . . . . . . . . . . 220,303 29,513 190,790

Race’ Race’

White. . . . . . . . , . . . . . . . . . . . . . , 3,552 329 3,223 White. . . . . . . . . . . . . . . . . . . . . . . . 161,554 14.700 146,864 Slack . . . . . . . . . . . . . . . . . . . . . . . 1,301 349 952 Slack........................ 49,737 13.51 I 36,226

Ethnicity Ethnicity

Hispanic. . . . . . . . . . . . . . . . . . . . . 635 79 556 Hispanic . . . . . . . . . . . . . . . . . . . . . 18,192 2,693 15,499 Not of Hispanic origin . . . . . . . . . 4,341 615 3,726 Not of Hispanic origin . . . . . . . . . . 202,111 26,820 175,291

Patient status Patient status

Return . . . . . . . . . . . . . . . . . , . . . . . 3,197 482 2,715 Return . . . . . . . . . . . . . . . . . . . . . . . 142,289 20,394 121,895 New........................... 1,779 213 1,567 New......................... 78.014 9,119 68,896

‘All patients include mxs other than white and black. ‘All patients include races other than white and black.

The standard error of proportion estimates may be Accordingly, the standard error of an estimated approximated by use of the design effect approach. For proportion of patients is approximated by the following data from the National Reporting System for Family formula: Planning Services, the design effect varies with the size of the base of the proportion (see table X). W ith the PU -PI selection of larger values in the range of recommended Standard error (p) =.(D.E.) J ,n design effects, fewer comparisons of survey parameters wherewill result in significant differences. The largest value in each range of recommended design effects was used to p = the estimated proportion.deterrninc reliability for this report. 12= the number of sample (i.e., unweighted)

patients in the base of the proportion (see table III).

Table VIII. Relative standard error (in percent) of female patient estimates D.E. = the design effect corresponding to the size by income status, race, ethnicity, and patient status: United States, 1980 of the estimated base of the proportionp

Income status (ske table IV).

Receives Does not For example, 74.3 percent @ = 0.743) of the Race, ethnicity, and patient status Total public

receive 1,703,OOOteenage family planning patients continued public

assistance assistance or adopted use of the oral contraceptive pill. The

income income following computation may be used to determine the

standard error for this estimated prop&ion: Re!ative standard error in percent

All patients .................. 3.8 5.7 3.8 - 0.743). = o oo9 Standard error = 6 78,658 * Race’

White ....................... 4.0 7.6 4.0 Slack ....................... 5.4 7.0 5.6 where

Ethnicity

Hispanic..................... 6.0 11.4 6.2 p =

D.E. = 0.743 6

Not of Hispanic origin . . . . . . . . 3.9 5.7 4.0 n = 78,658 Patient status

Return . . . . . . . . . . . . . . . . . . . . . . 4.0 6.6 4.1 and New........................ 4.1 7.1 4.2 0.009

relative standard error - o.743 = 0.012 ‘All patients include races other than white and black.

42

Table X. Range of recommended design effects for proportion estimates

Desion effect Range of used in thisEstimated number of patients in base

recommended report r0 1 of proportion (domain size)

desicm effects derermine

Less than 1 million:. ................ l-5 5.,I l-3 million ........................ 2-6 6

More than 3 million ................. 3-8 8,

One may also wish to compute the standard error associated with national aggregate estimates. To calculate the approximate standard error of an aggregate estimate X, first compute the relative standard error (RSE) of the proportion (X/Y), where Y is the aggregate estimate for the smallest category of patients listed in table IA containing X population (e.g., if X is the estimated number of teenage family planning patientsadopting or continuing use of the oral contraceptive pill, Y is the estimated number of teenage family planning patients).

Then

RSE (X) = 4 (RSE (X/y))2 + (RSE (Y))2

and.

standard error (X) =XRSE (X).

To continue with the example, one may calculate the standard error of the estimated 1,262,OOO teenagefamily planning patients who continued or adopted use of the oral contraceptive pill.

First, the approximate relative standard error of the proportion estimate (the estimated proportion of teen-age family planning patients who continued or adopted use of the pill) is calculated. This was determined to be 0.012. The relative standard error for the base of the proportion (i.e., the estimated total number of teenagefamily planning patients) is provided in table IB.

Therefore RSE (1,262,OOO) = &0.012)2 + (0.040)’ = 0.042

The standard error is the aggregateestimate multipliedby the RSE:

Standard error (1,262,OOO) = (0.042)( 1,262,OOO) F 53,004

Nonsampling error. -The data presented in this report are also subject to nonsampling error, includingthat due to item nonresponse, information incompletely or inaccurately recorded, and processing error.

In addition, adjustment for service site nonresponse may introduce nonsampling error in the NRSFPS statistics. In particular, the 1980NRSFPS was subject to Statewidenonresponsefor severalconsecutivemonths, with several such States in a single geographic region. An adjustment for such nonresponse was made by means of a multiplicative factor to the basic sample visit weight for each responding sample service site. It is not ’ known whether this results in over- or underestimation of the total number of patients.

During early 1980, the National Center for Health Statistics conducted a study to identify and measure nonsampling error associated with 1980 data Born the National Reporting System .for Family Planning Services.a The study included site visits to 174 family planning facilities in the 1980 sample. The study revealed that it was not generally possible to verify the number of medical family planning visits. For example, service sites frequently did not differentiate between medical and nonmedical f&y planning visits. The study indicated patient totals are probably under-estimated. Other problems associated with adherence to survey dellnitions and procedures were identified, and evidence suggeststhat patient data were not alwaysupdated in the site’s record system at every visit.

Rounding.-Aggregate estimates of famny planning patients are rounded to the nearest thousand; the percentages were computed based on unrounded estimates; and thus, the figures may not sum to the totals.

aFinal Report of Data Quality Study for the National Reporting System for Family Planning Services, August 1980, Informatics. (Unpublished.)

43

Appendix II. Definitions of terms used in this report

CZinic.-See family planning service site. Clinic Visit Recordfor Family Planning Services.-

The National Center for Health Statistics primary data collection form used for the NRSFPS. Seeappendix III for facsimile.

Continuation patients.-All family planning patients who made a previous visit to any family planning service site during the last calendar year.

Contraception.- Conscious use by individuals of medication, devices, or practice that permit coitus with reduced likelihood of conception (commonly known as birth control).

Contraceptive method.-Any medical device or practice that permits coitus with reduced likelihood of conception.

Education.‘-The highest grade of “regular” school completed (not the highest grade entered). Regularschool refers to any institution in which a person can earn credits toward an accredited elementary school certification, high school diploma, or college degree. Trade schools, beauty schools, business schools, and the like are excluded unless credits are granted toward an elementary school certification, high school diploma, or college degree.

Familyplanningpatient.-A person who receives medical services related to contraception, sterilization, or infertility treatment in a family planning service site anywhere within the United States or its. territories.

Family planning service site.-A location or site where family planning services are provided on a regular basis under the supervision of a physician. Private physicians’offices and group medical practices are not considered sites unless they receive support through a Department of Health and Human Services grant for the provision of family planning services. Miliary service sites are excluded from the survey.

Family planning services.-Medical services that primarily are considered with the regulation of conception, that is, they enable a person either to reduce the risk of conception (contraceptive services) or to induce conception (infertility services) when desired.

Fetal deaths.-Death of a product of conceptionprior to the expulsion or extraction from its mother. This includes miscarriages, stillbirths, and induced abortions .

Hispanic origin or descent.-Individuals who consider themselvesto be of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish origin or descent, regardless of race.

1nfertiZi&.-Diminished or absentability to conceive. Live births.-Children born alive any time after

conception. In the event of multiple births, each child is counted as a birth. For example, twins count astwo live births, and triplets count as three live births.

Medicalservices.-The provision of contraceptive methods as well as general physical examinations and other testing involved in maintaining the health of the patient. These include the following: 1. Pap smear. -Papanicolaou’s test to detect cervical

cancer. 2. Pelvic examination.-Speculum examlnation of

the vagina and bimanual examination of internal pelvic organs.

3. Breast examination. -Inspection and palpation of the breast and axillary glands.

4. Blood pressure.-Routine measurement of a patient’s blood pressure.

5. Pregnancy testing.-Any diagnostic test performed to determine pregnancy.

6. KD. Testing. -Test to detect the presence of venereal disease.

7. Urinalysis (N.E. S.).b-Any test done on a patient’s urine sample other than for pregnancy or venereal disease.

8. Blood test (N.E. S. ):-Any test of a patient’s blood except for venereal disease or pregnancy.

9. Other medical services.-Medical family planning services not specified on the Clinic Visit Record.- -.

bN.E.S.-Not elsewhere specified.

44

for Family Planning Services. Examples include X-rays and immunizations.

I New &D&en&.-All patients whose first family plan

ning visit (i.e., initial vi&t) to a family planning se-&ice site occurred during the survey year. (This does not

.I preclude the individual’s having. made a visit to a private physician.)

Public assistance income.-The patient’s family in-

come from any Federal, State, or local public assistance program (for example, aid for dependent children and general assistance). Scholarships, education grants, unemployment benefits, and Social Security pensions are not considered public assistance income.

Readmission patient. -A family planning patient whose last visit to any family planning service site occurred one or more years before the survey year.

45

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--

Appendix III. Survey instrument

O.M.B. 68-RI137I

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE

HEALTH RESOURCES ADMINISTRATION NATIONAL CENTER FOR HEALTH STATISTICS

Clinic Visit Record for Family Planning Services

1. SERVICE NUMBER 11. PREGNANCY HIS’TORY (Females only1

A. Have you e”el been pregnantl 2. PATIENT NUMBER 1” a q Yes b q NO-Got012

B. How many live births have you had? 3. DATE OF THIS VISIT

C. Of these. how living?

4.

5.

7.

8.

9.

10.

many are now

PATIENT’S SEX .n Female b n Mill*

D. How many of your pregnancies were ended by stillbirth, induced abortion, or miscarriage? f/f “zero,“go to F I

ARE YOU OF HISPANIC ORIGIN OR DESCENT? E. How many of these pregnancies weie ended by induced

abortion since January 1973?

HAND CARD A a 0 YeI b r-Jr40 F. In what month and year did your last pregnancy end (regardless of how it ended)?

12. CONTRACEPTIVE HISTORY

A. Have YOU ever used a method of birth control regularly?

a 17 Yes b 0 NO -Go to 13 WHAT IS YOUR BIRTH DATE?

HANOCARDD .l oat*

PATIENT STATUS

Have you ex been a patient of this or any other clinic for familyplanning me services?

a 0 YeI b 17 NO C. Do you currently use that method (primary method checked in 12B)?

If “Yea,” when were you &t a patient at any a 0 Yes-Go to B b f-,Noclinic for family planning medical services?. -

EDUCATION 0. In what month and year did you stop using that method?

Month Year

A. What 1s the highest grade (or year) of regular school you have completed? E. How long did you “10 that method?mrc/e ORBnumber/ I

8. Are YOU presently a student in a regular scboo,?

FAMILY INCOME AND FAMILY SIZE

HAND CARD 8 and HAND CARD d I 13. MEDICAL SERVICES PROVIDED ATTHIS VISIT A. Which of the following groups represents yow’total combined FOSI

(before deductions) family income for the paat I2 months?

C. Does this income include any pvblie as~istancc?

- -

HRA-192.6 6177 *‘U.S. COVEXNMENT PRINTING OFFICE: 196%361-Ml:517

46

I

Vital and Health Statistics series descriptions

SERIES 1. Programs and Collection Procedures.-Reports describing SERIES 14. Data on Health Resources: Manpower and Facilities.-the general programs of the National Centerfor Health Statis- Statistics on the numbers, geographic distribution, and char-tics and its offices and divisions and the data collection acteristics of health resources including physicians, dentists. methods used. They also include definitions and other material nurses, other health occupations, hospitals, nursing homes, necessary for understanding the data. and outpatient facilities.

SERIES 2. Data Evaluation and Methods Research.-Studies of new SERIES 15. Data From Special Surveys.-Statistics on health and health-statistical methodology including experimental tests of new related topics collected in special surveys that are not a part of survey methods, studies of vital statistics collection methods, the continuing data systems of rhe National Center for Health new analytical techniques, objective evaluations of reliability Statistics. of collected data, and contributions to statistical theory. SERIES 20. Data on Mortality.-Various statistics on mortality otherthan

SERIES 3. Analytical and Epidemiological Studies.-Reports presenting as included in regular annual or monthly reports. Special analytical or interpretive studies based on vital and health sta- analyses by cause of death, age, and other demographic tistics. carrying the analysis furtherthan the expositorytypes of variables; geographic and time series analyses; and statistics reports in the other series. on characteristics of deaths not available from the vital records

SERIES 4. Documents and Committee Reports.-Final reports of major based on sample surveys of those records.

committees concerned with vital and health statistics and SERIES 21. Data on Natality, Marriage, and Divorce.-Various statistics documents such as recommended model vital registration laws on natality, marriage, and divorce other than as included in and revised birth and death certificates. regular annual or monthly reports. Special analyses by demo-

SERIES 10. Data From the National Health Interview Survey.-Statistics graphicvariables; geographic and timeseries analyses:studies

on illness, accidental injuries, disability, use of hospital, of fertility; and statistics on characteristics of births not

medical, dental, and other services, and other health-related available from the vital records based on sample surveys of

topics. all based on data collected in the continuing national those records.

household interview survey. SERIES 22. Data From the National Monthly and Natality Surveys.-

SERIES 11. Data From the National Health Examination Survey and the Discontinued in 1975. Reports from these sample surveys

National Health and Nutrition Examination Survey.-Data based on vital records are included in Series 20 and 21,

from direct examination, testing, and measurement of national respectively.

samples of the civilian noninstitutionalized population provide SERIES 23. Data From the National Survey of Family Growth.-Statisthe basis for (1) estimates of the medically defined prevalence tics on fertility, family formation and dissolution, family of specific diseases in the United States and the distributions planning, and related maternal and infant health topics derived of the population with respect to physical, physiological, and from a periodic survey of a nationwide probability sample of psychological characteristics and (2) analysis of relationships ever-married women 15-44 years of age. among the various measurements without reference to an

/ explicit finite universe of persons.

SERIES 12. Data From the Institutionalized Population Surveys.-Discontinued in 1975. Reports from these surveys are included in Series 13. For a list of titles of reports published in these series, write to:

SERIES 13. Data on Health Resources Utilization.-Statistics on the utili- Scientific end Technical Information Branch zation of health manpower and facilities providing long-term National Center for Health Statistics care, ambulatory care, hospital care, and family planning Public Health Service services. Hyattsville, Md. 20782

I